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General NPI Number Information
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NPI Number | 1053096792
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Entity Type | Individual
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Provider Name | FALLON QUIGLEY
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Gender | Female
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Dates
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Enumeration Date | 06/20/2023
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 8 HOSPITAL CENTER BLVD STE 250
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29926-8702
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Country | US
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Telephone | 843-671-7342
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Fax | 843-671-7343
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Provider Business Mailing Address
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Address Line | 7221 SOUTH ST
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City | SAINT LOUIS
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State | MO
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Zip | 63143-1318
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Country | US
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Telephone |
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2021025555
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA02011000
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT-5930
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License Number State | HI
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTL26875
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License Number State | MA
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Taxonomy #6
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP033602T
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License Number State | SC
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Taxonomy #7
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP025960T
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License Number State | AZ
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