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General NPI Number Information
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NPI Number | 1194880369
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Entity Type | Organization
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Legal Business Name | QED MEDICAL SOLUTIONS, LLC
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 12/22/2008
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Provider Practice Location Address
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Address Line | 3280 TAMIAMI TRL STE 491
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-8053
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Country | US
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Telephone | 813-361-1096
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Fax |
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Provider Business Mailing Address
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Address Line | 3280 TAMIAMI TRL STE 55A PMB 296
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-8086
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Country | US
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Telephone | 813-361-1096
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LANCE KREPLICK
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Credential | M.D.
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Telephone | 813-361-1096
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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