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General NPI Number Information
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NPI Number | 1407142334
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Entity Type | Organization
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Legal Business Name | QUIQ INC
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Dates
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Enumeration Date | 06/20/2011
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Last Update Date | 02/14/2013
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Provider Practice Location Address
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Address Line | 460 NORRISTOWN RD STE 202
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City | BLUE BELL
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State | PA
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Zip | 19422-2323
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Country | US
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Telephone | 610-828-7221
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Fax | 484-328-3041
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Provider Business Mailing Address
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Address Line | 40 GENERAL WARREN BLVD SUITE 160
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City | MALVERN
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State | PA
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Zip | 19355-1251
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Country | US
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Telephone | 484-328-3048
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Fax |
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Authorized Official
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Title or Position | CIO
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Name | DAN BLACK
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Credential |
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Telephone | 484-645-3141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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