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General NPI Number Information
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NPI Number | 1326791799
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Entity Type | Organization
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Legal Business Name | QUALITY CONNECTIONS, INC.
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 9245 SW 157TH ST STE 206
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City | PALMETTO BAY
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State | FL
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Zip | 33157-1975
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Country | US
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Telephone | 305-278-7764
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Fax | 305-517-1263
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Provider Business Mailing Address
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Address Line | 12225 SW 203RD TER
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City | MIAMI
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State | FL
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Zip | 33177-5260
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Country | US
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Telephone | 305-278-7764
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Fax | 305-517-1263
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARIANELA WATA WARA
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Credential | MSW
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Telephone | 305-323-2681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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