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General NPI Number Information
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NPI Number | 1538490818
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Entity Type | Organization
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Legal Business Name | FIRST QUALITY HEALTHCARE INC
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Dates
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Enumeration Date | 01/26/2010
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Last Update Date | 07/14/2010
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Provider Practice Location Address
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Address Line | 2626 S LOOP W STE 350
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City | HOUSTON
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State | TX
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Zip | 77054-2654
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Country | US
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Telephone | 713-334-1003
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Fax | 713-334-1030
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Provider Business Mailing Address
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Address Line | 2626 S LOOP W 350
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City | HOUSTON
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State | TX
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Zip | 77054-2654
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Country | US
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Telephone | 713-334-1003
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Fax | 713-334-1030
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Authorized Official
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Title or Position | NURSRE PRACTITIONER
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Name | RHONJEAN GORDON
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Credential | RN,FNP-BC
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Telephone | 713-334-1003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 677064
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number | 8616
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | J9021
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 677064
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License Number State | TX
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