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General NPI Number Information
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NPI Number | 1134213085
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Entity Type | Organization
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Legal Business Name | QUALITY MEDICAL CENTER, P.C.
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 201 W 5TH ST
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City | COOKEVILLE
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State | TN
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Zip | 38501-1753
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Country | US
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Telephone | 931-526-1688
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Fax | 931-372-0234
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Provider Business Mailing Address
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Address Line | 201 W 5TH ST
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City | COOKEVILLE
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State | TN
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Zip | 38501-1753
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Country | US
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Telephone | 931-526-1688
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Fax | 931-372-0234
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROY ANDERSON
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Credential |
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Telephone | 931-526-1688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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