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General NPI Number Information
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NPI Number | 1205969342
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Entity Type | Organization
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Legal Business Name | QUICKCARE HEALTH SERVICES
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 06/13/2011
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Provider Practice Location Address
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Address Line | 10 LAUREL DR
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City | HERSHEY
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State | PA
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Zip | 17033-2677
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Country | US
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Telephone | 717-592-8095
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Fax |
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Provider Business Mailing Address
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Address Line | 10 LAUREL DR
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City | HERSHEY
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State | PA
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Zip | 17033-2677
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Country | US
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Telephone | 717-592-8095
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Fax | 888-225-1296
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Authorized Official
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Title or Position | OWNER
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Name | PATRICIA M MILLNER
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Credential | CRNP
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Telephone | 717-592-8095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | VP001553D
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License Number State | PA
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