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General NPI Number Information
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NPI Number | 1083597140
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Entity Type | Organization
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Legal Business Name | QRX MD LLC
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 625 6TH AVE S STE 365
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4665
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Country | US
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Telephone | 813-482-8203
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Fax |
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Provider Business Mailing Address
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Address Line | 1235 EAST BLVD. E-266
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City | CHARLOTTE
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State | NC
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Zip | 28203
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Country | US
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Telephone | 813-482-8203
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DANIEL SUCHERMAN
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Credential | MD
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Telephone | 704-702-6555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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