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General NPI Number Information
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NPI Number | 1083909568
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Entity Type | Organization
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Legal Business Name | QUAS PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 06/13/2011
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Last Update Date | 06/13/2011
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Provider Practice Location Address
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Address Line | 1029 HWY 6 N STE 650-192
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City | HOUSTON
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State | TX
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Zip | 77079-1043
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Country | US
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Telephone | 832-423-0803
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Fax |
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Provider Business Mailing Address
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Address Line | 1029 HWY 6 N STE 650-192
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City | HOUSTON
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State | TX
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Zip | 77079-1043
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Country | US
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Telephone | 832-423-0803
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | QUINCY WASHINGTON
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Credential |
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Telephone | 832-423-0803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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