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General NPI Number Information
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NPI Number | 1275838385
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Entity Type | Individual
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Provider Name | JOEL QUIROZ PA-C
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Gender | Male
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Dates
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Enumeration Date | 01/20/2011
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 780 SWIFT BLVD STE 220
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City | RICHLAND
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State | WA
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Zip | 99352-3524
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Country | US
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Telephone | 509-942-3055
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Fax | 509-942-2498
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Provider Business Mailing Address
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Address Line | 550 GAGE BLVD STE 101
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City | RICHLAND
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State | WA
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Zip | 99352-9532
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Country | US
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Telephone | 509-942-3055
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Fax | 509-942-2498
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | OA60211117
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA60118254
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | OA60211117
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License Number State | WA
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