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General NPI Number Information
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NPI Number | 1649695362
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Entity Type | Organization
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Legal Business Name | QUALITY OF LIFE HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 03/04/2014
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Last Update Date | 03/04/2014
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Provider Practice Location Address
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Address Line | 64 GILES ST
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City | HEFLIN
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State | AL
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Zip | 36264-1738
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Country | US
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Telephone | 256-463-3307
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Fax | 256-463-2024
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Provider Business Mailing Address
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Address Line | 1411 PIEDMONT CUTOFF OFC
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City | GADSDEN
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State | AL
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Zip | 35903-2708
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Country | US
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Telephone | 256-439-6402
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Fax | 256-543-0340
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Authorized Official
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Title or Position | CEO
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Name | WAYNE ROWE
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Credential |
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Telephone | 256-492-0131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 114295
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License Number State | AL
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