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General NPI Number Information
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NPI Number | 1013193671
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Entity Type | Organization
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Legal Business Name | HAROLD E. QUAN, M.D., INC
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 01/14/2008
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Provider Practice Location Address
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Address Line | 23845 MCBEAN PKWY
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City | VALENCIA
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State | CA
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Zip | 91355-2001
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Country | US
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Telephone | 661-255-8320
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Fax | 661-255-8320
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Provider Business Mailing Address
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Address Line | 23928 LYONS AVE SUITE 101
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City | NEWHALL
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State | CA
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Zip | 91321-2409
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Country | US
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Telephone | 661-255-8320
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Fax | 661-255-0338
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CAROL S. QUAN
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Credential | R.N.
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Telephone | 66912558320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A34182
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License Number State | CA
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