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General NPI Number Information
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NPI Number | 1346710837
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Entity Type | Organization
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Legal Business Name | HEALTHQUEST MEDICAL PARTNERS, P.A.
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Dates
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Enumeration Date | 11/28/2018
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Last Update Date | 08/12/2019
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Provider Practice Location Address
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Address Line | 118 CEDAR ST
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City | DAYTONA BEACH
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State | FL
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Zip | 32114
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Country | US
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Telephone | 855-453-7539
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Fax |
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Provider Business Mailing Address
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Address Line | 118 CEDAR ST
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-4904
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Country | US
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Telephone | 855-453-7539
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. KESLEY CRAWFORD
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Credential | ED.D
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Telephone | 904-831-6992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy 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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #6
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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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