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General NPI Number Information
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NPI Number | 1083805014
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Entity Type | Organization
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Legal Business Name | PARA/QUAD SERVICES, INC.
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Dates
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Enumeration Date | 08/06/2007
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Last Update Date | 06/15/2010
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Provider Practice Location Address
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Address Line | 1220 KENNESTONE CIR SUITE 100
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City | MARIETTA
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State | GA
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Zip | 30066-6045
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Country | US
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Telephone | 770-419-9151
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Fax | 770-419-9053
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Provider Business Mailing Address
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Address Line | 1220 KENNESTONE CIR SUITE 100
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City | MARIETTA
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State | GA
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Zip | 30066-6045
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Country | US
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Telephone | 770-419-9151
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Fax | 770-419-9053
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Authorized Official
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Title or Position | CEO
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Name | MR. JOSEPH D FRAZIER
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Credential |
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Telephone | 770-419-9191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 033-R-0015
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License Number State | GA
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