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General NPI Number Information
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NPI Number | 1073829214
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Entity Type | Organization
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Legal Business Name | QUALITY CARE COMMUNITY CENTER
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Dates
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Enumeration Date | 08/25/2010
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Last Update Date | 08/25/2010
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Provider Practice Location Address
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Address Line | 5519 RICKY ST
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City | HOUSTON
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State | TX
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Zip | 77033-3313
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Country | US
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Telephone | 832-921-2285
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Fax |
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Provider Business Mailing Address
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Address Line | 5519 RICKY ST
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City | HOUSTON
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State | TX
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Zip | 77033-3313
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Country | US
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Telephone | 832-921-2285
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. CATHY MARTIN
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Credential |
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Telephone | 832-971-0569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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