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NPI 1750826376

NPI 1750826376 : MELISSA QUINONES RVS : ATLANTA, GA

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General NPI Number Information
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    NPI Number           |    1750826376
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    Entity Type          |    Individual 
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    Provider Name        |    MELISSA QUINONES RVS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/05/2017
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    Last Update Date     |    08/19/2018
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Provider Practice Location Address
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    Address Line         |    3355 LENOX RD NE STE 1000 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30326
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    Country              |    US
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    Telephone            |    404-870-8089
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    Fax                  |    404-393-6333
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Provider Business Mailing Address
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    Address Line         |    3355 LENOX RD NE STE 1000 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30326-1355
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    Country              |    US
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    Telephone            |    404-870-8089
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    Fax                  |    404-393-6333
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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        |    2471V0105X
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    Taxonomy Name        |    Vascular Sonography Radiologic Technologist
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    License Number       |    
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    License Number State |    
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