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General NPI Number Information
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NPI Number | 1528475563
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Entity Type | Organization
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Legal Business Name | QUALITY HEALTH CARE SERVICES, PA
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Dates
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Enumeration Date | 07/22/2014
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Last Update Date | 07/22/2014
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Provider Practice Location Address
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Address Line | 4510 HANGING MOSS RD
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City | JACKSON
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State | MS
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Zip | 39206-3962
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Country | US
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Telephone | 769-572-5280
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Fax | 769-572-5250
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Provider Business Mailing Address
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Address Line | PO BOX 83081
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City | JACKSON
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State | MS
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Zip | 39283-3081
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Country | US
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Telephone | 769-572-5280
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Fax | 769-572-5250
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GERALDINE Q. YOUNG
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Credential | DNP, FNP-BC
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Telephone | 769-572-5280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | R861956
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License Number State | MS
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