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General NPI Number Information
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NPI Number | 1689902223
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Entity Type | Organization
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Legal Business Name | QUALITY CARE SOLUTIONS INC
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Dates
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Enumeration Date | 11/19/2009
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Last Update Date | 03/01/2019
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Provider Practice Location Address
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Address Line | 1016 BROAD ST
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City | DURHAM
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State | NC
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Zip | 27705-4144
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Country | US
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Telephone | 919-286-6766
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Fax |
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Provider Business Mailing Address
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Address Line | 1306 PADDOCK DR SUITE E-100
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City | RALEIGH
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State | NC
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Zip | 27609-4873
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Country | US
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Telephone | 919-790-8606
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MANDRAKE K LEWIS
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Credential | BA
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Telephone | 919-279-8588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | MHL-032-512
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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