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General NPI Number Information
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NPI Number | 1093735573
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Entity Type | Organization
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Legal Business Name | QUINN PHYSICAL THERAPY P.A.
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 623 HARBOR BLVD SUITE # 5
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City | DESTIN
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State | FL
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Zip | 32541-2466
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Country | US
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Telephone | 850-654-8588
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Fax | 850-654-8758
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Provider Business Mailing Address
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Address Line | 623 HARBOR BLVD SUITE # 5
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City | DESTIN
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State | FL
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Zip | 32541-2466
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Country | US
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Telephone | 850-654-8588
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Fax | 850-654-8758
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN E QUINN
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Credential | M.S.,P.T.
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Telephone | 850-654-8588
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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 |
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License Number State |
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