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General NPI Number Information
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NPI Number | 1427192491
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Entity Type | Organization
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Legal Business Name | MED QUICK INC
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | 6364 US HIGHWAY 27 N
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City | SEBRING
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State | FL
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Zip | 33870-1225
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Country | US
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Telephone | 863-471-6557
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Fax | 863-471-6881
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Provider Business Mailing Address
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Address Line | 6360 US HIGHWAY 27 N
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City | SEBRING
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State | FL
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Zip | 33870-1225
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Country | US
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Telephone | 863-386-0081
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Fax | 863-385-5118
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Authorized Official
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Title or Position | PRESIDENT
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Name | COLLEEN D. LOSA
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Credential |
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Telephone | 863-386-0081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | PH10353
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | PH10353
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | PH10353
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | PH10353
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License Number State | FL
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