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General NPI Number Information
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NPI Number | 1386749943
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Entity Type | Organization
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Legal Business Name | QUAIL SURGICAL AND PAIN MANAGEMENT CENTER, LLC
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 06/15/2016
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Provider Practice Location Address
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Address Line | 6630 S MCCARRAN BLVD # C25
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City | RENO
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State | NV
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Zip | 89509-6135
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Country | US
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Telephone | 775-827-7555
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Fax |
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Provider Business Mailing Address
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Address Line | 6630 S MCCARRAN BLVD # C25
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City | RENO
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State | NV
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Zip | 89509-6135
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Country | US
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Telephone | 775-827-7555
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Fax |
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | STEVE FILTON
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Credential |
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Telephone | 610-768-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 2337ASC-7
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License Number State | NV
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