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General NPI Number Information
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NPI Number | 1750254819
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Entity Type | Organization
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Legal Business Name | QUAD INTERMED COMPANY LLC
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 804 HIGHWAY 51
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City | MADISON
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State | MS
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Zip | 39110-8404
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Country | US
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Telephone | 601-898-7500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1998
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City | MADISON
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State | MS
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Zip | 39130-1998
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | ASHLEY BUIE
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Credential |
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Telephone | 601-898-7530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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