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General NPI Number Information
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NPI Number | 1417100074
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Entity Type | Organization
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Legal Business Name | QV MANAGEMENT SERVICES
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 10/28/2008
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Provider Practice Location Address
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Address Line | 28135 WEST DR
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City | QUAIL VALLEY
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State | CA
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Zip | 92587-9126
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Country | US
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Telephone | 877-835-6423
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Fax | 209-498-3824
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Provider Business Mailing Address
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Address Line | 3150 CASE RD BLDG M SUITE 5 136
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City | PERRIS
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State | CA
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Zip | 92570-5551
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Country | US
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Telephone | 877-835-6423
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Fax | 209-498-3824
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTINA MEACHAM
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Credential |
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Telephone | 951-244-7590
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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 | 024572
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License Number State | CA
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