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General NPI Number Information
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NPI Number | 1356772982
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Entity Type | Organization
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Legal Business Name | QUAD NURSE LLC
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Dates
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Enumeration Date | 12/08/2013
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 2647 NE 3RD ST
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City | OCALA
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State | FL
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Zip | 34470-7048
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Country | US
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Telephone | 352-484-0296
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Fax | 352-577-0554
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Provider Business Mailing Address
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Address Line | 2647 NE 3RD ST
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City | OCALA
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State | FL
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Zip | 34470-7048
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Country | US
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Telephone | 352-484-0296
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Fax | 352-577-0554
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. MARCUS ALEXANDER SR.
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Credential |
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Telephone | 352-816-7353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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