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General NPI Number Information
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NPI Number | 1639323710
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Entity Type | Organization
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Legal Business Name | JOSE A. QUIROS MD PA
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Dates
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Enumeration Date | 11/16/2008
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Last Update Date | 11/21/2008
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Provider Practice Location Address
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Address Line | 4343 MONTGOMERY AVE
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City | BETHESDA
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State | MD
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Zip | 20814-4416
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Country | US
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Telephone | 301-657-3040
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Fax | 301-718-0459
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Provider Business Mailing Address
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Address Line | 4343 MONTGOMERY AVE
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City | BETHESDA
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State | MD
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Zip | 20814-4416
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Country | US
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Telephone | 301-657-3040
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Fax | 301-718-0459
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSE A QUIROS
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Credential | M.D.
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Telephone | 301-657-3040
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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 | D29256
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License Number State | MD
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