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General NPI Number Information
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NPI Number | 1750764049
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Entity Type | Individual
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Provider Name | MR. ROBERT THOMAS QUASIUS SR.
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Gender | Male
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Dates
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Enumeration Date | 07/03/2015
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Last Update Date | 11/07/2016
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Provider Practice Location Address
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Address Line | 109 S 5TH ST SUITE 350
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City | MARSHALL
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State | MN
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Zip | 56258-1240
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Country | US
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Telephone | 507-401-0694
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Fax | 507-316-0312
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Provider Business Mailing Address
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Address Line | 109 S 5TH ST SUITE 350
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City | MARSHALL
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State | MN
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Zip | 56258-1240
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Country | US
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Telephone | 507-401-2298
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Fax | 507-316-0312
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number | MARSHALL
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 171R00000X
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Taxonomy Name | Interpreter
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License Number |
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License Number State |
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