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General NPI Number Information
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NPI Number | 1245426386
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Entity Type | Organization
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Legal Business Name | REGINA P QUINAIN, MD PA
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Dates
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Enumeration Date | 09/21/2007
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Last Update Date | 08/31/2018
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Provider Practice Location Address
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Address Line | 10967 LAKEUNDERHILL ROAD SUITE 107
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City | ORLANDO
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State | FL
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Zip | 32825-4434
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Country | US
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Telephone | 407-672-1002
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Fax | 407-823-9206
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Provider Business Mailing Address
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Address Line | PO BOX 780584
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City | ORLANDO
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State | FL
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Zip | 32878-0584
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Country | US
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Telephone | 407-672-1002
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Fax | 407-673-1003
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Authorized Official
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Title or Position | OWNER
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Name | REGINA P. QUINAIN
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Credential | M.D.
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Telephone | 407-672-1002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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