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General NPI Number Information
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NPI Number | 1083596381
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Entity Type | Organization
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Legal Business Name | QUICK CARE SERVICE LLC
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 1048 BOWDENS RD
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City | KENANSVILLE
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State | NC
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Zip | 28349-8914
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Country | US
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Telephone | 984-269-2809
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Fax |
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Provider Business Mailing Address
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Address Line | 4030 WAKE FOREST RD STE 349
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City | RALEIGH
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State | NC
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Zip | 27609-0010
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Country | US
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Telephone | 910-310-8899
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | OTIKA MICHELLE WELLS
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Credential |
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Telephone | 910-310-8899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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