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General NPI Number Information
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NPI Number | 1417298175
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Entity Type | Organization
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Legal Business Name | JAMES V QUINN MD LLC
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Dates
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Enumeration Date | 03/06/2013
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Last Update Date | 03/06/2013
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Provider Practice Location Address
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Address Line | 8 JOHN DYER RD
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City | LITTLE COMPTON
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State | RI
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Zip | 02837-1723
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Country | US
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Telephone | 401-592-0340
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Fax | 401-635-2008
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Provider Business Mailing Address
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Address Line | PO BOX 164
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City | ADAMSVILLE
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State | RI
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Zip | 02801-0164
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Country | US
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Telephone | 401-592-0340
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Fax | 401-635-2008
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | JAMES V QUINN
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Credential | MD
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Telephone | 401-635-4088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD12128
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 226242
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License Number State | MA
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