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General NPI Number Information
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NPI Number | 1518400910
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Entity Type | Organization
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Legal Business Name | QI DATA SYSTEMS, INC.
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Dates
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Enumeration Date | 12/02/2016
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Last Update Date | 12/02/2016
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Provider Practice Location Address
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Address Line | 150 THE PROMENADE N UNIT 511
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City | LONG BEACH
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State | CA
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Zip | 90802-4756
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Country | US
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Telephone | 415-902-4991
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1003
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City | LONG BEACH
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State | CA
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Zip | 90801-1003
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Country | US
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Telephone | 415-902-4991
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JORDAN WEISS
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Credential | RN
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Telephone | 415-902-4991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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