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General NPI Number Information
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NPI Number | 1093991523
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Entity Type | Organization
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Legal Business Name | FREDERICK E. QUIRANTE, DPM
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Dates
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Enumeration Date | 01/15/2008
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Last Update Date | 08/11/2022
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Provider Practice Location Address
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Address Line | 1323 S 27TH ST STE 200
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City | NEDERLAND
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State | TX
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Zip | 77627-6257
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Country | US
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Telephone | 409-729-4225
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Fax | 409-729-7533
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Provider Business Mailing Address
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Address Line | 1323 S 27TH ST STE 200
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City | NEDERLAND
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State | TX
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Zip | 77627-6257
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Country | US
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Telephone | 409-729-4225
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Fax | 409-729-7533
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SHELLY GLYNN
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Credential |
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Telephone | 409-729-4225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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