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General NPI Number Information
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NPI Number | 1831476498
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Entity Type | Organization
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Legal Business Name | QUALITY CARE SERVICES
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Dates
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Enumeration Date | 11/10/2011
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Last Update Date | 11/10/2011
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Provider Practice Location Address
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Address Line | 5178 STONE HARBOUR RD
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City | ORLANDO
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State | FL
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Zip | 32808-1650
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Country | US
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Telephone | 407-844-3418
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Fax | 321-352-7316
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Provider Business Mailing Address
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Address Line | 5178 STONE HARBOUR RD
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City | ORLANDO
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State | FL
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Zip | 32808-1650
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Country | US
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Telephone | 407-844-3418
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Fax | 321-352-7316
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Authorized Official
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Title or Position | OWNER
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Name | TASHA LAVONNE HESTER
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Credential |
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Telephone | 407-844-3418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 232260
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License Number State | FL
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