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General NPI Number Information
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NPI Number | 1649574641
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Entity Type | Organization
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Legal Business Name | QUIN A GERARD M.D.P.A.
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Dates
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Enumeration Date | 01/05/2011
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Last Update Date | 11/03/2011
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Provider Practice Location Address
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Address Line | 7777 FOREST LN SUITE A-310
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City | DALLAS
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State | TX
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Zip | 75230-2584
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Country | US
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Telephone | 972-566-7777
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Fax | 972-566-7958
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Provider Business Mailing Address
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Address Line | 3701 LEXINGTON AVE
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City | DALLAS
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State | TX
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Zip | 75205-3802
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Country | US
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Telephone | 214-528-1833
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Fax | 214-582-3701
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Authorized Official
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Title or Position | PRESIDENT
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Name | QUIN ADAIR GERARD
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Credential | M.D.
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Telephone | 214-528-1833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | H6234
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License Number State | TX
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