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General NPI Number Information
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NPI Number | 1639164114
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Entity Type | Individual
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Provider Name | DON C QUAST M.D., P.A.
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Gender | Male
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Dates
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Enumeration Date | 09/12/2005
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Last Update Date | 11/14/2012
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Provider Practice Location Address
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Address Line | 1213 HERMANN DR STE 560
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City | HOUSTON
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State | TX
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Zip | 77004-7018
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Country | US
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Telephone | 713-521-0017
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Fax | 713-521-0240
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Provider Business Mailing Address
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Address Line | 1213 HERMANN DR STE 560
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City | HOUSTON
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State | TX
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Zip | 77004-7018
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Country | US
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Telephone | 713-521-0017
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Fax | 713-521-0240
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | C7097
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License Number State | TX
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