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General NPI Number Information
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NPI Number | 1427441542
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Entity Type | Organization
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Legal Business Name | QUALITY CARE DEVELOPMENTAL SERVICES INC.
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Dates
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Enumeration Date | 03/13/2015
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Last Update Date | 03/13/2015
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Provider Practice Location Address
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Address Line | 11713 STATESVILLE BLVD
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City | CLEVELAND
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State | NC
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Zip | 27013-9418
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Country | US
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Telephone | 704-798-2851
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2748
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City | SALISBURY
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State | NC
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Zip | 28145-2748
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Country | US
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Telephone | 704-798-2851
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | TARA WHITE
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Credential |
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Telephone | 704-798-2851
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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 |
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License Number State |
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