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General NPI Number Information
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NPI Number | 1235310699
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Entity Type | Organization
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Legal Business Name | VISIONQUEST INDUSTRIES, INC.
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 1390 DECISION ST STE A
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City | VISTA
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State | CA
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Zip | 92081-8578
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Country | US
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Telephone | 949-261-3000
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Fax | 888-266-6968
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Provider Business Mailing Address
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Address Line | 1390 DECISION ST STE A
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City | VISTA
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State | CA
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Zip | 92081-8578
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Country | US
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Telephone | 800-266-6969
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Fax | 888-266-6968
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Authorized Official
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Title or Position | VICE PRESIDENT REIMBURSEMENT
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Name | RICHARD ROY HUFF
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Credential |
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Telephone | 949-794-3440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 101923
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 101923
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License Number State | CA
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