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General NPI Number Information
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NPI Number | 1588731202
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Entity Type | Organization
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Legal Business Name | AGNES G QUION M D INC
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 12677 HESPERIA RD STE 120
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City | VICTORVILLE
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State | CA
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Zip | 92395-7735
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Country | US
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Telephone | 760-951-5938
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Fax | 760-951-5948
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Provider Business Mailing Address
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Address Line | 12677 HESPERIA RD STE 120
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City | VICTORVILLE
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State | CA
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Zip | 92395-7735
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Country | US
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Telephone | 760-951-5938
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Fax | 760-951-5948
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AGNES G QUION
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Credential | MD
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Telephone | 760-951-5938
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A52515
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License Number State | CA
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