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General NPI Number Information
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NPI Number | 1902074263
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Entity Type | Organization
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Legal Business Name | QUALITY CARE HOME CARE
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Dates
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Enumeration Date | 02/20/2008
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Last Update Date | 02/20/2008
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Provider Practice Location Address
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Address Line | 1 CHICK SPRINGS RD SUITE 103-A
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City | GREENVILLE
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State | SC
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Zip | 29609-4946
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Country | US
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Telephone | 864-271-4485
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Fax | 864-271-4565
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Provider Business Mailing Address
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Address Line | PO BOX 9848
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City | GREENVILLE
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State | SC
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Zip | 29604-9327
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Country | US
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Telephone | 864-271-4485
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Fax | 864-271-4565
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. RODERICK MONTALEDO WHARTON
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Credential |
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Telephone | 864-271-4485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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