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General NPI Number Information
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NPI Number | 1750263588
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Entity Type | Organization
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Legal Business Name | HEALTH QUEST CHIROPRACTIC & PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 320 W 29TH ST STE 100
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City | BALTIMORE
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State | MD
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Zip | 21211-2909
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Country | US
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Telephone | 443-529-0441
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Fax | 810-801-5002
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Provider Business Mailing Address
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Address Line | 7920 MCDONOGH RD STE 101
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5249
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Country | US
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Telephone | 410-356-9939
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Fax | 410-356-3087
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Authorized Official
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Title or Position | OWNER
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Name | PAUL ETTLINGER
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Credential |
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Telephone | 443-253-9837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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