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General NPI Number Information
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NPI Number | 1134745300
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Entity Type | Organization
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Legal Business Name | QUALITY CARE COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 06/23/2020
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Last Update Date | 08/13/2021
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Provider Practice Location Address
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Address Line | 3249 HENNEPIN AVE STE 70
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City | MINNEAPOLIS
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State | MN
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Zip | 55408-3470
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Country | US
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Telephone | 612-598-4486
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Fax | 612-444-8934
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Provider Business Mailing Address
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Address Line | 3249 HENNEPIN AVE STE 70
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City | MINNEAPOLIS
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State | MN
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Zip | 55408-3470
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Country | US
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Telephone | 612-598-4486
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MOHAMED HASSAN
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Credential |
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Telephone | 612-598-4486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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