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General NPI Number Information
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NPI Number | 1689100323
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Entity Type | Organization
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Legal Business Name | QUANTUM INTEGRATIVE MEDICINE
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Dates
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Enumeration Date | 05/01/2017
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 1362 MORRIS AVE
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City | UNION
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State | NJ
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Zip | 07083-3342
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Country | US
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Telephone | 908-755-0200
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Fax | 908-603-8343
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Provider Business Mailing Address
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Address Line | 1362 MORRIS AVE STE 1
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City | UNION
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State | NJ
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Zip | 07083-3342
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Country | US
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Telephone | 908-755-0200
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Fax | 908-603-8343
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Authorized Official
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Title or Position | MANAGER
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Name | ANN MILLS
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Credential |
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Telephone | 732-913-7080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ00629000
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License Number State | NJ
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