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General NPI Number Information
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NPI Number | 1144429325
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Entity Type | Individual
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Provider Name | ROBIN GAY QUIRE RN
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Gender | Female
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 07/17/2007
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Provider Practice Location Address
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Address Line | 134 PREVATT RD
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City | DOTHAN
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State | AL
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Zip | 36301-5427
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Country | US
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Telephone | 334-794-0731
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Fax |
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Provider Business Mailing Address
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Address Line | 1133 CO. RD. 445
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City | ENTERPRISE
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State | AL
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Zip | 36330
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Country | US
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Telephone | 334-347-7688
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Fax |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1-070213
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License Number State | AL
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