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General NPI Number Information
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NPI Number | 1184673378
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Entity Type | Organization
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Legal Business Name | QUADRANGLE ENDOSCOPY CENTER, INC.
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 03/01/2010
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Provider Practice Location Address
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Address Line | 1850 W ARLINGTON BLVD
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City | GREENVILLE
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State | NC
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Zip | 27834-5704
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Country | US
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Telephone | 252-752-6101
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Fax | 252-752-6600
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Provider Business Mailing Address
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Address Line | 1850 W ARLINGTON BLVD
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City | GREENVILLE
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State | NC
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Zip | 27834-5704
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Country | US
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Telephone | 252-752-6101
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Fax | 252-752-6600
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | MRS. SUSAN M ECKERT
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Credential |
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Telephone | 252-413-6740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0800X
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Taxonomy Name | Endoscopy Clinic/Center
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License Number | NC AP 00000583
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License Number State | NC
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