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General NPI Number Information
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NPI Number | 1841787884
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Entity Type | Organization
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Legal Business Name | QUALITY IMPACT SOLUTIONS, LLC
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Dates
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Enumeration Date | 04/16/2018
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Last Update Date | 04/16/2018
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Provider Practice Location Address
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Address Line | 4282 KIMBALL RD SW
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City | ATLANTA
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State | GA
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Zip | 30331-6519
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Country | US
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Telephone | 678-499-2681
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Fax | 404-581-5116
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Provider Business Mailing Address
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Address Line | 3645 MARKETPLACE BLVD # 130-5
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City | EAST POINT
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State | GA
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Zip | 30344-5747
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Country | US
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Telephone | 678-499-2681
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Fax | 404-581-5116
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Authorized Official
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Title or Position | CEO
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Name | WANDA NEAL
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Credential |
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Telephone | 678-499-2681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | GA
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