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General NPI Number Information
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NPI Number | 1497133292
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Entity Type | Organization
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Legal Business Name | TRUST-IN QUALITY CARE SERVICE COORDINATION LLC
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Dates
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Enumeration Date | 05/12/2015
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Last Update Date | 07/14/2015
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Provider Practice Location Address
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Address Line | 7627 ELMWOOD AVE STE A
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City | PHILADELPHIA
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State | PA
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Zip | 19153-1333
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Country | US
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Telephone | 215-681-7236
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Fax |
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Provider Business Mailing Address
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Address Line | 7627 ELMWOOD AVE STE A
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City | PHILADELPHIA
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State | PA
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Zip | 19153-1333
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Country | US
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Telephone | 215-681-7236
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. LEON BURTON
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Credential |
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Telephone | 215-681-7236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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