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General NPI Number Information
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NPI Number | 1164906871
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Entity Type | Organization
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Legal Business Name | QUALITY PHYSICIAN GROUP PLLC
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Dates
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Enumeration Date | 09/18/2018
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 33049 PROFESSIONAL DR STE 103
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City | LEESBURG
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State | FL
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Zip | 34788-3705
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Country | US
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Telephone | 352-353-6967
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Fax |
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Provider Business Mailing Address
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Address Line | 33049 PROFESSIONAL DR STE 103
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City | LEESBURG
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State | FL
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Zip | 34788-3705
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Country | US
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Telephone | 352-446-4227
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | SHEYLA ZELAYA-ARAGON
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Credential | MD
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Telephone | 352-353-6967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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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 | 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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