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General NPI Number Information
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NPI Number | 1174545032
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Entity Type | Organization
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Legal Business Name | QUALITYCARE HEALTHCARE STAFFING
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 10/30/2007
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Provider Practice Location Address
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Address Line | 1201 NEW RD SIUTE 202A
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City | LINWOOD
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State | NJ
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Zip | 08221-1150
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Country | US
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Telephone | 609-601-6700
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Fax | 609-601-6710
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Provider Business Mailing Address
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Address Line | 1201 NEW RD SIUTE 202A
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City | LINWOOD
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State | NJ
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Zip | 08221-1150
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Country | US
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Telephone | 609-601-6700
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Fax | 609-601-6710
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Authorized Official
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Title or Position | OWNER
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Name | MR. MARK D WORRELL
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Credential | R.N
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Telephone | 609-601-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HP0078600
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License Number State | NJ
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