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General NPI Number Information
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NPI Number | 1437750163
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Entity Type | Organization
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Legal Business Name | QUALITY CARE ER-2 LLC
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Dates
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Enumeration Date | 11/09/2020
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Last Update Date | 11/09/2020
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Provider Practice Location Address
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Address Line | 8090 MONTY STRATTON BLVD
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City | GREENVILLE
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State | TX
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Zip | 75402
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Country | US
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Telephone | 903-900-5888
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 876
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City | PARIS
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State | TX
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Zip | 75461-0876
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Country | US
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Telephone | 903-900-5888
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. BYRON PRINCE
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Credential | RN
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Telephone | 903-900-5888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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