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General NPI Number Information
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NPI Number | 1629322904
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Entity Type | Organization
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Legal Business Name | QUALITY LIFE SOLUTIONS, INC.
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Dates
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Enumeration Date | 11/07/2012
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Last Update Date | 11/07/2012
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Provider Practice Location Address
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Address Line | 4082 N CEDAR AVE SUITE 104
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City | FRESNO
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State | CA
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Zip | 93726-5274
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Country | US
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Telephone | 559-441-1128
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Fax |
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Provider Business Mailing Address
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Address Line | 4082 N CEDAR AVE SUITE 104
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City | FRESNO
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State | CA
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Zip | 93726-5274
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Country | US
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Telephone | 559-441-1128
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. PHILIP M FLANIGAN
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Credential | JD
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Telephone | 559-435-0455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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