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MQA SUPPORT SERVICES LLC

Managed Care Organizations Preferred Provider Organization

Provider NPI: 1689861668

Organization Information:
Organization Name:  MQA SUPPORT SERVICES LLC
Organization is not Subpart
Authorized Official:  DENISE  LEVINE  EXECUTIVE DIRECTOR  919-637-7567

Practice Location:
201 W MAIN ST 302 E DURHAM, NC 27701-3228 US
Tel: 919-637-7567  Fax: 919-439-0215

Business Mailing Address:
201 W MAIN ST 302 E DURHAM, NC 27701-3228 US
Tel: --  Fax: --

NPI Information:
NPI: 1689861668
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y305R00000XManaged Care Organizations
Preferred Provider Organization

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 305R00000X

Type:

Classification:



Definition:



MEDICAL JOBS NC - Page 1

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