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General NPI Number Information
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NPI Number | 1588008148
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Entity Type | Organization
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Legal Business Name | QUICK EMPIRE, LLC
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Dates
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Enumeration Date | 04/24/2013
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Last Update Date | 05/03/2013
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Provider Practice Location Address
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Address Line | 3214 LEMONGRASS LN
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City | CHARLOTTE
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State | NC
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Zip | 28214-0204
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Country | US
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Telephone | 843-862-1115
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 31633
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City | CHARLOTTE
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State | NC
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Zip | 28231-1633
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Country | US
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Telephone | 843-862-1115
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | OLANDO QUICK
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Credential |
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Telephone | 843-862-1115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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