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General NPI Number Information
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NPI Number | 1760633192
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Entity Type | Organization
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Legal Business Name | QIC MEDICAL SOLUTIONS, INC.
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Dates
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Enumeration Date | 10/03/2008
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Last Update Date | 10/03/2008
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Provider Practice Location Address
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Address Line | 6671 SOUTHWEST FWY SUITE 777
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City | HOUSTON
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State | TX
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Zip | 77074-2212
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Country | US
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Telephone | 713-621-4464
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Fax | 713-621-7775
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Provider Business Mailing Address
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Address Line | 6671 SOUTHWEST FWY SUITE 777
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City | HOUSTON
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State | TX
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Zip | 77074-2212
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Country | US
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Telephone | 713-621-4464
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Fax | 713-621-7775
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | JIM RUTHERFORD
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Credential |
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Telephone | 713-621-4464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 006488
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License Number State | TX
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