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General NPI Number Information
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NPI Number | 1720384118
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Entity Type | Organization
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Legal Business Name | QUINN PAULY MD PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 02/01/2011
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Last Update Date | 02/01/2011
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Provider Practice Location Address
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Address Line | 10635 PROFESSIONAL CIR SUITE A
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City | RENO
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State | NV
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Zip | 89521-5849
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Country | US
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Telephone | 775-851-7771
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Fax | 775-851-7731
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Provider Business Mailing Address
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Address Line | 10635 PROFESSIONAL CIR SUITE A
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City | RENO
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State | NV
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Zip | 89521-5849
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Country | US
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Telephone | 775-851-7771
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Fax | 775-851-7731
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Authorized Official
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Title or Position | OWNER
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Name | QUINN PAULY
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Credential | M.D.
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Telephone | 775-851-7771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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