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General NPI Number Information
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NPI Number | 1245085018
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Entity Type | Organization
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Legal Business Name | QUOTIENT NEURO SERVICES LLC
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Dates
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Enumeration Date | 04/23/2024
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | 1115 S DIXIE FWY
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32168-7473
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Country | US
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Telephone | 386-463-5323
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Fax |
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Provider Business Mailing Address
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Address Line | 4516 KATY DR
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32169-4112
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Country | US
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Telephone | 386-679-4458
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. THOMAS GEORGE MCLOUGHLIN JR.
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Credential | MD
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Telephone | 386-463-5323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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