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General NPI Number Information
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NPI Number | 1942110846
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Entity Type | Organization
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Legal Business Name | QUALITY SUCCESS SERVICES
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 39 HILLSIDE CENTER DR
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City | PRESTONSBURG
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State | KY
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Zip | 41653-8866
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Country | US
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Telephone | 606-506-4367
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Fax |
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Provider Business Mailing Address
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Address Line | 39 HILLSIDE CENTER DR
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City | PRESTONSBURG
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State | KY
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Zip | 41653-8866
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Country | US
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Telephone | 606-506-4367
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DALTON A FRASURE
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Credential |
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Telephone | 606-477-1755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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