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General NPI Number Information
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NPI Number | 1730034463
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Entity Type | Organization
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Legal Business Name | QUICKFIX LLC
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Dates
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Enumeration Date | 02/27/2026
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 311 CLINTON BLVD STE C
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City | CLINTON
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State | MS
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Zip | 39056-5251
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Country | US
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Telephone | 601-526-1444
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Fax |
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Provider Business Mailing Address
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Address Line | 311 CLINTON BLVD STE C
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City | CLINTON
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State | MS
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Zip | 39056-5251
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Country | US
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Telephone | 601-526-1444
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Fax |
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Authorized Official
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Title or Position | MASSAGE THERAPIST
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Name | JAZZMEN BRISCOE
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Credential | LMT
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Telephone | 601-526-1444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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