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General NPI Number Information
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NPI Number | 1972640787
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Entity Type | Organization
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Legal Business Name | QUALITY DIRECTIONS, INC.
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3835 VINEVILLE AVE
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City | MACON
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State | GA
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Zip | 31204-1864
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Country | US
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Telephone | 478-471-7785
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Fax | 478-477-7445
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Provider Business Mailing Address
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Address Line | 3835 VINEVILLE AVE
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City | MACON
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State | GA
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Zip | 31204-1864
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Country | US
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Telephone | 478-471-7785
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Fax | 478-477-7445
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. RONALD HUGHLEY
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Credential | M.S.W.
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Telephone | 478-471-7785
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 002326
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License Number State | GA
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