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General NPI Number Information
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NPI Number | 1841521721
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Entity Type | Organization
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Legal Business Name | QUALITY CARE
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Dates
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Enumeration Date | 01/17/2010
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Last Update Date | 04/01/2010
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Provider Practice Location Address
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Address Line | 3021 BROOK LN
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City | REX
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State | GA
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Zip | 30273-2434
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Country | US
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Telephone | 404-918-8118
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Fax | 866-503-0856
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Provider Business Mailing Address
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Address Line | 3021 BROOK LN
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City | REX
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State | GA
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Zip | 30273-2434
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Country | US
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Telephone | 404-918-8118
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Fax | 866-503-0856
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MRS. TAMARA BEVELL
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Credential |
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Telephone | 404-918-8118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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