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General NPI Number Information
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NPI Number | 1558176016
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Entity Type | Individual
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Provider Name | MICHAEL QUINONES
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Gender | Male
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 470 N FRANKLIN ST
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City | CHRISTIANSBURG
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State | VA
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Zip | 24073-2940
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Country | US
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Telephone | 540-382-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 6126 HERONS LANDING DR
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City | RADFORD
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State | VA
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Zip | 24141-7037
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Country | US
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Telephone | 540-750-5800
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Fax |
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 0230029781
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License Number State | VA
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