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General NPI Number Information
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NPI Number | 1184703589
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Entity Type | Organization
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Legal Business Name | QUALITY HOME CARE SERVICES
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Dates
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Enumeration Date | 11/04/2006
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 3607 BEATTIES FORD RD
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City | CHARLOTTE
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State | NC
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Zip | 28216-3249
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Country | US
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Telephone | 704-394-8968
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Fax | 704-394-8967
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Provider Business Mailing Address
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Address Line | 3607 BEATTIES FORD RD
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City | CHARLOTTE
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State | NC
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Zip | 28216-3249
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Country | US
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Telephone | 704-394-8968
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Fax | 704-394-8967
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. RASHAWN D FLOURNOY
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Credential |
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Telephone | 980-285-3388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 870442
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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