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General NPI Number Information
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NPI Number | 1548394620
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Entity Type | Organization
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Legal Business Name | QUALITY SUPPORT COORDINATION INC
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2800 YOUREE DR BLDG A SUITE 380
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City | SHREVEPORT
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State | LA
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Zip | 71104-3661
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Country | US
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Telephone | 318-219-2514
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Fax | 318-219-8642
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Provider Business Mailing Address
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Address Line | 2800 YOUREE DR BLDG A SUITE 380
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City | SHREVEPORT
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State | LA
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Zip | 71104-3661
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Country | US
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Telephone | 318-219-2514
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Fax | 318-219-8642
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. JANET T. CONNELL
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Credential |
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Telephone | 504-858-9370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 7295
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License Number State | LA
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