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General NPI Number Information
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NPI Number | 1285964734
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Entity Type | Organization
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Legal Business Name | QUALITY SUPPORT SERVICES & ASSOCIATES INC.
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Dates
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Enumeration Date | 01/06/2010
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Last Update Date | 12/10/2012
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Provider Practice Location Address
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Address Line | 35 NE159 STREET
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City | NORTH MIAMI
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State | FL
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Zip | 33162
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Country | US
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Telephone | 305-216-6334
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Fax | 305-216-6334
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Provider Business Mailing Address
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Address Line | 35 NE 159TH ST
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City | MIAMI
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State | FL
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Zip | 33162-4212
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Country | US
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Telephone | 305-216-6334
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Fax | 305-688-1414
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Authorized Official
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Title or Position | C.E.O
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Name | MRS. KAREN SCOTT
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Credential |
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Telephone | 305-216-6334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 684612298
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 229666
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 684612296
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License Number State | FL
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