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General NPI Number Information
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NPI Number | 1013633700
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Entity Type | Organization
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Legal Business Name | QV URGENT CARE TX PLLC
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Dates
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Enumeration Date | 10/14/2022
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Last Update Date | 10/14/2022
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Provider Practice Location Address
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Address Line | 1704 LIVE OAK ST
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City | COMMERCE
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State | TX
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Zip | 75428-2552
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Country | US
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Telephone | 430-562-8272
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1022
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City | WAYNESBORO
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State | TN
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Zip | 38485-1022
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Country | US
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Telephone | 931-722-2369
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD REAMS POWERS JR.
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Credential | MD
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Telephone | 931-540-4210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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