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General NPI Number Information
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NPI Number | 1366497224
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Entity Type | Organization
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Legal Business Name | QUALITY HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 04/05/2010
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Provider Practice Location Address
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Address Line | 1801 OLD OCILLA RD
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City | TIFTON
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State | GA
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Zip | 31794-1617
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Country | US
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Telephone | 229-342-3484
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 743
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City | TIFTON
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State | GA
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Zip | 31793-0743
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Country | US
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Telephone | 478-922-3722
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. VICKY W LAMB
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Credential |
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Telephone | 478-922-3722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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