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General NPI Number Information
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NPI Number | 1336594175
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Entity Type | Individual
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Provider Name | MIGUEL ANGEL QUIRCH III MD
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Gender | Male
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Dates
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Enumeration Date | 04/29/2016
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 1127 WILSHIRE BLVD STE 900
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City | LOS ANGELES
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State | CA
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Zip | 90017-3910
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Country | US
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Telephone | 213-481-3948
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Fax | 213-481-1697
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Provider Business Mailing Address
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Address Line | 18000 STUDEBAKER RD STE 800
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City | CERRITOS
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State | CA
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Zip | 90703-2671
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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 |
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | A183348
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License Number State | CA
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