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General NPI Number Information
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NPI Number | 1518147081
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Entity Type | Organization
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Legal Business Name | QUALITY COMMUNITY SUPPORTS
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 10/14/2011
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Provider Practice Location Address
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Address Line | 1109 EDEN SQUARE OFFICE PARK
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City | CHESAPEAKE
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State | VA
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Zip | 23320
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Country | US
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Telephone | 757-295-8931
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Fax | 757-282-2990
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Provider Business Mailing Address
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Address Line | PO BOX 1072
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City | PORTSMOUTH
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State | VA
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Zip | 23705
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Country | US
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Telephone | 757-295-8931
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Fax | 757-282-2990
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SEBRINA PORTER
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Credential |
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Telephone | 757-295-8931
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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 | 0001179754
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 460-03-001
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 0001179754
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 460-03-001
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License Number State | VA
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