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General NPI Number Information
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NPI Number | 1093817157
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Entity Type | Individual
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Provider Name | CATHLEEN WOOD QUILLIAN D.O.
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Gender | Female
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 06/02/2011
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Provider Practice Location Address
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Address Line | 1107 E 66TH ST
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City | SAVANNAH
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State | GA
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Zip | 31404-5701
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Country | US
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Telephone | 912-350-8404
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Fax | 912-350-8067
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Provider Business Mailing Address
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Address Line | 1501 COLLIERS CREEK RD
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City | WATKINSVILLE
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State | GA
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Zip | 30677
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Country | US
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Telephone | 706-769-4141
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Fax | 912-350-8067
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 045924
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License Number State | GA
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