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General NPI Number Information
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NPI Number | 1558794586
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Entity Type | Organization
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Legal Business Name | HEALTHQUEST
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Dates
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Enumeration Date | 08/13/2013
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Last Update Date | 08/13/2013
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Provider Practice Location Address
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Address Line | 510 E WALDRON ST
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City | CORINTH
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State | MS
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Zip | 38834-4861
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Country | US
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Telephone | 901-566-1002
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Fax |
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Provider Business Mailing Address
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Address Line | 58 TIMBER CREEK DR
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City | CORDOVA
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State | TN
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Zip | 38018-4233
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Country | US
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Telephone | 901-566-1002
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MRS. PATRICIA HUGHES
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Credential |
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Telephone | 901-566-1002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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