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General NPI Number Information
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NPI Number | 1144234071
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Entity Type | Organization
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Legal Business Name | QUANTUM HEALTHCARE, INC.
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 983 EXCHANGE ST
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City | VERMILION
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State | OH
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Zip | 44089-1256
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Country | US
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Telephone | 440-967-6614
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Fax | 440-967-1968
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Provider Business Mailing Address
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Address Line | 983 EXCHANGE ST
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City | VERMILION
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State | OH
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Zip | 44089-1256
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Country | US
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Telephone | 440-967-6614
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Fax | 440-967-1968
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Authorized Official
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Title or Position | PRESIDENT/ADMINISTRATOR
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Name | MR. STEVEN RANKIN
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Credential | NHA
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Telephone | 440-967-6617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 1902N
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License Number State | OH
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