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General NPI Number Information
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NPI Number | 1407465917
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Entity Type | Organization
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Legal Business Name | QV URGENT CARE IA PLLC
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Dates
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Enumeration Date | 07/30/2020
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Last Update Date | 04/02/2021
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Provider Practice Location Address
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Address Line | 801 NORTH GRAND AVENUE
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City | MT. PLEASANT
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State | IA
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Zip | 52641
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Country | US
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Telephone | 931-722-2369
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1022
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City | WAYNESBORO
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State | TN
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Zip | 38485-1022
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Country | US
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Telephone | 319-984-4775
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD REAMS POWERS JR.
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Credential | MD
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Telephone | 931-540-4210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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