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General NPI Number Information
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NPI Number | 1871166728
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Entity Type | Organization
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Legal Business Name | AME QUALITY CARE SERVICES LLC
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Dates
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Enumeration Date | 07/19/2021
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Last Update Date | 07/19/2021
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Provider Practice Location Address
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Address Line | 17330 NORTHLAND PARK CT STE 205
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City | SOUTHFIELD
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State | MI
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Zip | 48075-4323
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Country | US
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Telephone | 313-447-7525
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Fax |
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Provider Business Mailing Address
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Address Line | 17330 NORTHLAND PARK CT STE 205
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City | SOUTHFIELD
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State | MI
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Zip | 48075-4323
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Country | US
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Telephone | 313-447-7525
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ANITA EFFINGER
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Credential | CNP
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Telephone | 313-447-7525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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