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General NPI Number Information
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NPI Number | 1538290341
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Entity Type | Organization
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Legal Business Name | QUINCO CONSULTING CENTER INC
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1260 E BUCKEYE ST
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City | NORTH VERNON
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State | IN
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Zip | 47265-8343
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Country | US
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Telephone | 812-346-4468
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Fax | 812-346-4341
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Provider Business Mailing Address
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Address Line | 720 N MARR RD
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City | COLUMBUS
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State | IN
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Zip | 47201-6660
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Country | US
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Telephone | 812-314-3400
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Fax | 812-378-8367
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Authorized Official
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Title or Position | CEO
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Name | DR. ROBERT J WILLIAMS
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Credential | PHD, HSPP
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Telephone | 812-314-3400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | IN
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