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General NPI Number Information
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NPI Number | 1033646971
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Entity Type | Individual
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Provider Name | MILA VIOLA QUINN MD
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Gender | Female
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Dates
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Enumeration Date | 05/22/2017
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 613 WILLIAMSON ST STE 205
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City | MADISON
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State | WI
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Zip | 53703-3515
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Country | US
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Telephone | 608-877-7727
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Fax | 608-258-6933
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Provider Business Mailing Address
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Address Line | 613 WILLIAMSON ST STE 205
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City | MADISON
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State | WI
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Zip | 53703-3515
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Country | US
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Telephone | 608-877-7727
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Fax | 608-258-6933
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 125.070606
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 125070606
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 77160
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License Number State | WI
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