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General NPI Number Information
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NPI Number | 1114175387
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Entity Type | Organization
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Legal Business Name | TOTAL QUALITY RESIDENTIAL SERVICES, INC.
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Dates
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Enumeration Date | 08/30/2008
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Last Update Date | 08/09/2010
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Provider Practice Location Address
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Address Line | 225 S WHITING ST APT 124
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City | ALEXANDRIA
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State | VA
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Zip | 22304-7117
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Country | US
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Telephone | 410-802-3815
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Fax | 443-703-2331
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Provider Business Mailing Address
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Address Line | 4121 SIHLER OAKS TRL
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5004
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Country | US
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Telephone | 410-802-3815
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Fax | 443-703-2331
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | MR. DARREN LAMONT PURNELL
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Credential |
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Telephone | 410-802-3815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | 1223-14-001
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 1223-14-001
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number | 1223-14-001
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License Number State | VA
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