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General NPI Number Information
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NPI Number | 1306320130
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Entity Type | Organization
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Legal Business Name | QUICKCARE HEALTH INC
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Dates
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Enumeration Date | 09/18/2018
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Last Update Date | 10/17/2018
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Provider Practice Location Address
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Address Line | 1013 UNIVERSITY BLVD STE 270-280
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City | SUFFOLK
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State | VA
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Zip | 23435-0048
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Country | US
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Telephone | 757-600-8451
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Fax |
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Provider Business Mailing Address
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Address Line | 104 RICHMOND WAY
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City | CARROLLTON
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State | VA
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Zip | 23314-2760
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | CLARENCE CLARKE
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Credential | MD
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Telephone | 757-600-8451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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