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General NPI Number Information
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NPI Number | 1487367199
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Entity Type | Organization
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Legal Business Name | QMG7,LLC
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Dates
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Enumeration Date | 12/28/2022
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 527 ELM ST
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City | NEW HAVEN
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State | CT
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Zip | 06511-4549
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Country | US
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Telephone | 475-321-5150
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Fax |
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Provider Business Mailing Address
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Address Line | 389 BRIDGEPORT AVE
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City | SHELTON
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State | CT
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Zip | 06484-5380
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Country | US
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Telephone | 475-321-5150
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Fax | 203-292-7026
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. STEVEN HEFFER
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Credential | MD
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Telephone | 475-321-5150
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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 |
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License Number State |
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