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General NPI Number Information
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NPI Number | 1083380588
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Entity Type | Individual
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Provider Name | EMILIE QUINN DC
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Gender | Female
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Dates
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Enumeration Date | 08/17/2021
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Last Update Date | 03/15/2023
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Provider Practice Location Address
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Address Line | 17333 PICKWICK DR
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City | PURCELLVILLE
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State | VA
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Zip | 20132-6173
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Country | US
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Telephone | 919-823-6533
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Fax |
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Provider Business Mailing Address
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Address Line | 42669 NEW DAWN TER
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City | BRAMBLETON
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State | VA
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Zip | 20148-8084
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Country | US
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Telephone | 856-905-7618
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5359
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104557842
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License Number State | VA
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