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General NPI Number Information
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NPI Number | 1922367010
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Entity Type | Organization
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Legal Business Name | QUALITY CARE PROVIDERS
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Dates
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Enumeration Date | 05/09/2012
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Last Update Date | 05/09/2012
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Provider Practice Location Address
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Address Line | 5565 CINDERLANE PKWY 291
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City | ORLANDO
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State | FL
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Zip | 32808-4705
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Country | US
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Telephone | 321-946-3413
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Fax |
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Provider Business Mailing Address
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Address Line | 5565 CINDERLANE PKWY 291
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City | ORLANDO
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State | FL
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Zip | 32808-4705
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Country | US
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Telephone | 321-946-3413
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | DEANNA KIMBELL
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Credential |
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Telephone | 321-946-3413
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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