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General NPI Number Information
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NPI Number | 1528115342
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Entity Type | Organization
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Legal Business Name | QUALITY SERVICES HOME HEALTH INC
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 12/23/2009
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Provider Practice Location Address
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Address Line | 1779 W 37TH ST UNIT 15
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City | HIALEAH
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State | FL
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Zip | 33012-4672
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Country | US
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Telephone | 305-819-5880
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Fax | 305-819-5882
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Provider Business Mailing Address
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Address Line | 1779 W 37TH ST
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City | HIALEAH
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State | FL
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Zip | 33012-4671
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Country | US
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Telephone | 305-819-5880
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Fax | 305-819-5882
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Authorized Official
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Title or Position | C.E.O.
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Name | MISS MARISEL MENENDEZ
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Credential | MISS
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Telephone | 305-819-5880
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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 | APPLIYING FOR
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License Number State | FL
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