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General NPI Number Information
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NPI Number | 1043485808
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Entity Type | Organization
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Legal Business Name | QUALITY PRIMARY CARE CORPORATION
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 12/14/2012
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Provider Practice Location Address
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Address Line | 135 W PERRY ST
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City | PORT CLINTON
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State | OH
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Zip | 43452-1010
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Country | US
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Telephone | 419-732-7800
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Fax | 419-797-4843
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Provider Business Mailing Address
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Address Line | 135 W PERRY ST
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City | PORT CLINTON
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State | OH
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Zip | 43452-1010
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Country | US
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Telephone | 419-732-7800
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Fax | 419-797-4843
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD L KENDALL
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Credential | MD
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Telephone | 419-732-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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