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General NPI Number Information
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NPI Number | 1528896479
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Entity Type | Organization
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Legal Business Name | QUANTUM HEALTHCARE LLC
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Dates
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Enumeration Date | 07/23/2024
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 463 VONS WAY DRIVE
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City | PROVIDENCE
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State | UT
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Zip | 84332
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Country | US
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Telephone | 435-770-2828
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 E BLUFF VIEW DR UNIT 80
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City | WASHINGTON
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State | UT
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Zip | 84780-8908
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Country | US
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Telephone | 773-766-7081
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Fax | 331-336-5644
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Authorized Official
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Title or Position | MD/CO-OWNER
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Name | ROBERT CROSBIE
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Credential |
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Telephone | 435-770-2828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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