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General NPI Number Information
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NPI Number | 1457683781
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Entity Type | Organization
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Legal Business Name | QUALITYCARE STAFFING SERVICES, INC.
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Dates
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Enumeration Date | 02/11/2010
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Last Update Date | 02/11/2010
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Provider Practice Location Address
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Address Line | 14355 226TH ST SUITE B
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City | LAURELTON
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State | NY
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Zip | 11413-3531
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Country | US
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Telephone | 718-723-1180
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Fax | 718-723-2843
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Provider Business Mailing Address
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Address Line | 14355 226TH ST SUITE B
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City | LAURELTON
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State | NY
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Zip | 11413-3531
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Country | US
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Telephone | 718-723-1180
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Fax | 718-723-2843
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Authorized Official
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Title or Position | OWNER/ADMINISTRATER
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Name | MS. SYLVIA E MODESTE
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Credential | RN
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Telephone | 718-723-2843
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1511L001
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License Number State | NY
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