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General NPI Number Information
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NPI Number | 1760101356
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Entity Type | Organization
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Legal Business Name | QUINN PEDIATRICS, PLLC
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Dates
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Enumeration Date | 08/25/2022
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 5404 KENWOOD DR STE 200
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City | ROWLETT
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State | TX
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Zip | 75089-3104
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Country | US
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Telephone | 469-613-2573
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Fax | 469-613-2583
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Provider Business Mailing Address
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Address Line | 8901 KESSLER DR
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City | ROWLETT
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State | TX
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Zip | 75089-0167
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Country | US
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Telephone | 469-348-6075
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC NURSE PRACTITIONER/OWNER
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Name | DEANNA QUACH
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Credential | CPNP-PC
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Telephone | 469-348-6075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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