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General NPI Number Information
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NPI Number | 1700243508
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Entity Type | Organization
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Legal Business Name | QUALITY CARE FIRST ASSIST, INC.
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Dates
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Enumeration Date | 01/25/2016
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Last Update Date | 01/25/2016
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Provider Practice Location Address
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Address Line | 4647 E BUCKBOARD CT
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City | GILBERT
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State | AZ
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Zip | 85297-5524
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Country | US
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Telephone | 480-212-2011
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Fax | 480-279-9899
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Provider Business Mailing Address
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Address Line | 4647 E BUCKBOARD CT
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City | GILBERT
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State | AZ
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Zip | 85297-5524
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Country | US
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Telephone | 480-212-2011
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Fax | 480-279-9899
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Authorized Official
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Title or Position | PRESIDENT
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Name | BEVERLY ANN ROSALES
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Credential | MSN, FNP-C
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Telephone | 480-212-2011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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