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General NPI Number Information
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NPI Number | 1073582045
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Entity Type | Organization
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Legal Business Name | S-Q HOME CARE SPECIALTIES INC
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 02/06/2009
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Provider Practice Location Address
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Address Line | 2400 N HEMLOCK CIR
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City | BROKEN ARROW
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State | OK
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Zip | 74012-1171
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Country | US
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Telephone | 918-251-0070
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Fax | 918-258-9229
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Provider Business Mailing Address
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Address Line | 2400 N HEMLOCK CIR
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City | BROKEN ARROW
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State | OK
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Zip | 74012-1171
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Country | US
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Telephone | 918-251-0070
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Fax | 918-258-9229
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MAGDALENE E QUAYE
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Credential | RN.C
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Telephone | 918-251-0070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 7670
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License Number State | OK
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