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General NPI Number Information
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NPI Number | 1891625596
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Entity Type | Organization
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Legal Business Name | QUALIA HEALTHCARE LLC
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Dates
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Enumeration Date | 05/22/2026
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Last Update Date | 05/22/2026
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Provider Practice Location Address
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Address Line | 1515 N WARSON RD
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City | SAINT LOUIS
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State | MO
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Zip | 63132-1111
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Country | US
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Telephone | 636-238-7027
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Fax |
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Provider Business Mailing Address
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Address Line | 7827 TOWN SQUARE AVE STE 104-1043
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City | O FALLON
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State | MO
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Zip | 63368-7197
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Country | US
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Telephone | 636-238-7027
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KELLY MCKINNEY
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Credential |
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Telephone | 636-238-7027
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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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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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