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General NPI Number Information
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NPI Number | 1205290335
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Entity Type | Organization
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Legal Business Name | QUICK RESPONSE HOLDINGS, LLC
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Dates
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Enumeration Date | 04/05/2016
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Last Update Date | 04/05/2016
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Provider Practice Location Address
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Address Line | 3344 4TH AVE SUITE 200
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City | SAN DIEGO
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State | CA
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Zip | 92103-5704
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Country | US
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Telephone | 619-432-6892
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Fax |
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Provider Business Mailing Address
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Address Line | 555 W BEECH ST SUITE 500
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City | SAN DIEGO
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State | CA
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Zip | 92101-2936
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER/LMFT
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Name | CORY STEGE
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Credential | LMFT
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Telephone | 619-432-6892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 49037
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License Number State | CA
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