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General NPI Number Information
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NPI Number | 1992038806
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Entity Type | Organization
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Legal Business Name | QUALITY MEDICAL CARE CORP
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Dates
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Enumeration Date | 09/09/2009
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Last Update Date | 09/21/2009
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Provider Practice Location Address
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Address Line | 15476 NW 77TH CT 447
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City | MIAMI LAKES
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State | FL
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Zip | 33016-5823
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Country | US
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Telephone | 786-222-8135
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Fax | 305-328-8362
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Provider Business Mailing Address
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Address Line | 15476 NW 77TH CT 447
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City | MIAMI LAKES
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State | FL
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Zip | 33016-5823
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Country | US
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Telephone | 786-222-8135
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Fax | 305-328-8362
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICARDO CASTILLO DIAZ
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Credential |
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Telephone | 786-222-8135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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