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General NPI Number Information
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NPI Number | 1447282264
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Entity Type | Individual
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Provider Name | BRIAN DAVID QUINT MD
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 04/10/2018
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Provider Practice Location Address
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Address Line | EBH 3SB 952 WILLIAM H. WILSON AVENUE, BUILDING 607
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City | FORT STEWART
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State | GA
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Zip | 31324
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Country | US
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Telephone | 912-435-2335
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Fax |
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Provider Business Mailing Address
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Address Line | 1061 HARMON AVE
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City | FORT STEWART
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State | GA
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Zip | 31314-5641
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 013487
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License Number State | ME
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