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General NPI Number Information
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NPI Number | 1033103783
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Entity Type | Individual
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Provider Name | JOHN C QUERCI DO
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Gender | Male
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Dates
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Enumeration Date | 09/08/2005
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Last Update Date | 04/03/2023
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Provider Practice Location Address
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Address Line | 3301 BONITA BEACH RD STE 310
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City | BONITA SPRINGS
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State | FL
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Zip | 34134-7836
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Country | US
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Telephone | 239-256-1609
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Fax | 239-317-7012
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Provider Business Mailing Address
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Address Line | 3301 BONITA BEACH RD STE 310
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City | BONITA SPRINGS
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State | FL
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Zip | 34134-7836
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Country | US
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Telephone | 239-256-1609
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Fax | 239-317-7012
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | OS16473
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | OS16473
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS16473
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License Number State | FL
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