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General NPI Number Information
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NPI Number | 1205316577
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Entity Type | Organization
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Legal Business Name | QUICK HEALTH PRIMARY CARE, LLC
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Dates
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Enumeration Date | 08/16/2018
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Last Update Date | 12/10/2018
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Provider Practice Location Address
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Address Line | 7600 S LOUISE AVE STE 150
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City | SIOUX FALLS
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State | SD
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Zip | 57108-5999
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Country | US
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Telephone | 605-271-7821
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Fax | 605-271-3717
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Provider Business Mailing Address
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Address Line | 2709 E 26TH ST
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City | SIOUX FALLS
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State | SD
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Zip | 57103-4016
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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 | CERTIFIED NURSE PRACTITIONER
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Name | ARTHUR J PEPPER
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Credential | CNP
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Telephone | 605-271-7821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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