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General NPI Number Information
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NPI Number | 1609771716
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Entity Type | Organization
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Legal Business Name | QUALITY IMPACT SERVICES LLC
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | URB LEVITTOWN AVENIDA DEL VALLE #3370
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City | TOA BAJA
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State | PR
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Zip | 00949-9998
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Country | US
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Telephone | 787-667-8653
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Fax |
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Provider Business Mailing Address
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Address Line | COND LAGO PLAYA CORAL 3000 APT 2231
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City | TOA BAJA
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State | PR
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Zip | 00949-9998
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Country | US
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Telephone | 787-667-8653
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BLANCA RODRIGUEZ VELEZ
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Credential |
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Telephone | 787-667-8653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | NULL
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State | NULL
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