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General NPI Number Information
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NPI Number | 1437546363
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Entity Type | Organization
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Legal Business Name | QMG2,LLC
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Dates
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Enumeration Date | 04/17/2015
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 1910 BLACK ROCK TPKE
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City | FAIRFIELD
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State | CT
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Zip | 06825-3543
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Country | US
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Telephone | 203-333-4400
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Fax | 203-292-7026
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Provider Business Mailing Address
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Address Line | 201 WHITES HILL LN
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City | FAIRFIELD
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State | CT
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Zip | 06824-2177
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Country | US
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Telephone | 203-675-1345
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Fax | 203-292-7026
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Authorized Official
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Title or Position | PARTNER
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Name | DR. STEVEN HEFFER
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Credential | M.D.
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Telephone | 203-675-1345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 038137
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License Number State | CT
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