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General NPI Number Information
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NPI Number | 1811467582
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Entity Type | Organization
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Legal Business Name | QUEST FOR EXCELLENCE INTERNATIONAL, LLC
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Dates
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Enumeration Date | 11/26/2018
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Last Update Date | 11/26/2018
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Provider Practice Location Address
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Address Line | 2 BROADWAY
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City | PARK RIDGE
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State | NJ
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Zip | 07656-2157
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Country | US
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Telephone | 667-207-0445
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 175
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City | PARK RIDGE
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State | NJ
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Zip | 07656-0175
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Country | US
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Telephone | 667-207-0445
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DONNA IVERY
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Credential | ED.M.
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Telephone | 667-207-0445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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