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General NPI Number Information
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NPI Number | 1932369949
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Entity Type | Organization
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Legal Business Name | QUALITY CARE CONSULTING
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Dates
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Enumeration Date | 06/12/2008
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 19811 FARMINGTON RD
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City | LIVONIA
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State | MI
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Zip | 48152-1444
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Country | US
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Telephone | 248-888-0066
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Fax | 248-888-0060
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Provider Business Mailing Address
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Address Line | 19811 FARMINGTON RD
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City | LIVONIA
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State | MI
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Zip | 48152-1444
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Country | US
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Telephone | 248-888-0066
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Fax | 248-888-0060
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Authorized Official
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Title or Position | DIRECTOR
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Name | KAREN L AMICK
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Credential | M.A., L.L.P, C.M.C.
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Telephone | 248-888-0066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301009808
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License Number State | MI
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