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General NPI Number Information
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NPI Number | 1346085875
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Entity Type | Organization
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Legal Business Name | COMPLETE QUALITY CARE SOLUTIONS
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Dates
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Enumeration Date | 06/26/2024
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Last Update Date | 06/26/2024
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Provider Practice Location Address
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Address Line | 160 INTERNATIONAL PKWY STE 276
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City | HEATHROW
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State | FL
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Zip | 32746-5058
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Country | US
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Telephone | 407-595-7668
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Fax |
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Provider Business Mailing Address
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Address Line | 160 INTERNATIONAL PKWY STE 276
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City | HEATHROW
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State | FL
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Zip | 32746-5058
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CATRINA BROWN
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Credential |
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Telephone | 407-942-1393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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