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General NPI Number Information
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NPI Number | 1508939760
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Entity Type | Individual
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Provider Name | STEPHEN JAMES QUANING MD
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Gender | Male
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 500 MEMORIAL CIR STE C
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City | ORMOND BEACH
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State | FL
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Zip | 32174-5054
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Country | US
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Telephone | 386-615-3500
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Fax | 386-615-3505
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Provider Business Mailing Address
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Address Line | 6150 METROWEST BLVD STE 307
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City | ORLANDO
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State | FL
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Zip | 32835-3291
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Country | US
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Telephone | 407-294-1014
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Fax | 407-294-7732
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | ME81579
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License Number State | FL
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