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General NPI Number Information
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NPI Number | 1033648852
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Entity Type | Organization
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Legal Business Name | QUALITY CARE ER, LLC
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Dates
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Enumeration Date | 06/06/2017
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 2675 41ST ST SE # 4 MOB#4 SUITE 101
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City | PARIS
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State | TX
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Zip | 75462-8201
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Country | US
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Telephone | 903-900-5888
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Fax |
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Provider Business Mailing Address
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Address Line | 2675 41ST ST SE #4 MOB#4 SUITE 101
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City | PARIS
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State | TX
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Zip | 75462-8201
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Country | US
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Telephone | 903-609-4125
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Fax | 903-609-4101
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Authorized Official
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Title or Position | OWNER
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Name | DR. COLIN A MARINO
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Credential | MD
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Telephone | 903-900-5888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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