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General NPI Number Information
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NPI Number | 1477983906
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Entity Type | Organization
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Legal Business Name | QUANTUM FLOW LLC
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Dates
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Enumeration Date | 11/19/2013
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Last Update Date | 01/26/2019
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Provider Practice Location Address
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Address Line | 5401 VETERANS MEMORIAL PKWY STE 102
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City | SAINT PETERS
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State | MO
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Zip | 63376
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Country | US
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Telephone | 636-442-1541
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Fax | 636-244-2664
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Provider Business Mailing Address
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Address Line | 5401 VETERANS MEMORIAL PKWY STE 102
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City | SAINT PETERS
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State | MO
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Zip | 63376-1681
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Country | US
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Telephone | 636-442-1541
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Fax | 636-244-2664
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. AMOD P PARANJPE
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Credential |
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Telephone | 314-565-2772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 000733
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License Number State | MO
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