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NPI 1760710701

NPI 1760710701 : MARK E. QUIRING, MD, PA : MOUNT PLEASANT, TX

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General NPI Number Information
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    NPI Number           |    1760710701
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    Entity Type          |    Organization 
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    Legal Business Name  |    MARK E. QUIRING, MD, PA 
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Dates
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    Enumeration Date     |    12/03/2009
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    Last Update Date     |    12/31/2013
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Provider Practice Location Address
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    Address Line         |    305 W 20TH ST 
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    City                 |    MOUNT PLEASANT
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    State                |    TX
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    Zip                  |    75455-2327
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    Country              |    US
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    Telephone            |    903-577-9384
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    Fax                  |    903-577-0954
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Provider Business Mailing Address
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    Address Line         |    305 W 20TH ST 
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    City                 |    MOUNT PLEASANT
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    State                |    TX
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    Zip                  |    75455-2327
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    Country              |    US
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    Telephone            |    903-577-9384
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    Fax                  |    903-577-0954
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Authorized Official
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    Title or Position    |    PRESIDENT/OWNER
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    Name                 |    DR. MARK  QUIRING 
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    Credential           |    MD
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    Telephone            |    903-577-9384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    J2263
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    License Number State |    TX
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