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General NPI Number Information
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NPI Number | 1790330652
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Entity Type | Organization
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Legal Business Name | QUALITY SERVICES COORDINATOR INC
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Dates
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Enumeration Date | 08/07/2019
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Last Update Date | 08/07/2019
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Provider Practice Location Address
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Address Line | 2899 CARAMBOLA CIR S
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City | COCONUT CREEK
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State | FL
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Zip | 33066-2581
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Country | US
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Telephone | 954-607-8486
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Fax |
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Provider Business Mailing Address
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Address Line | 2899 CARAMBOLA CIR S
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City | COCONUT CREEK
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State | FL
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Zip | 33066-2581
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | AMELIA HERNANDEZ
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Credential |
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Telephone | 954-607-8486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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