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General NPI Number Information
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NPI Number | 1073338919
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Entity Type | Organization
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Legal Business Name | QUICKCARE CLINIC, INC
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Dates
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Enumeration Date | 11/16/2024
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Last Update Date | 11/16/2024
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Provider Practice Location Address
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Address Line | 1400 S MARIETTA PKWY SE STE 203
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City | MARIETTA
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State | GA
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Zip | 30067-7844
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Country | US
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Telephone | 678-935-9939
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Fax | 678-935-9974
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Provider Business Mailing Address
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Address Line | 1400 S MARIETTA PKWY SE STE 203
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City | MARIETTA
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State | GA
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Zip | 30067-7844
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Country | US
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Telephone | 678-935-9939
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Fax | 678-935-9974
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Authorized Official
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Title or Position | CFO
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Name | MS. TANISHA HODGE
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Credential |
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Telephone | 678-935-9939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 261QM1000X
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Taxonomy Name | Migrant Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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