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General NPI Number Information
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NPI Number | 1609422682
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Entity Type | Organization
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Legal Business Name | QOL MEDICAL INTEGRATORS, INC.
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Dates
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Enumeration Date | 08/14/2019
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Last Update Date | 08/14/2019
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Provider Practice Location Address
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Address Line | 3344 HILLSBOROUGH ST STE 100
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City | RALEIGH
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State | NC
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Zip | 27607-5460
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Country | US
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Telephone | 919-336-4246
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Fax | 928-326-2555
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Provider Business Mailing Address
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Address Line | PO BOX 1433
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-1433
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Country | US
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Telephone | 919-336-4246
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Fax | 928-326-2555
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Authorized Official
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Title or Position | CEO
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Name | MR. JOHN MICHAEL SCORDOS
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Credential |
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Telephone | 919-336-4246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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