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General NPI Number Information
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NPI Number | 1770901928
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Entity Type | Individual
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Provider Name | DAVID QUINCY ATKINS
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Gender | Male
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Dates
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Enumeration Date | 04/04/2014
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Last Update Date | 04/09/2014
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Provider Practice Location Address
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Address Line | 10 CASIA STREET VA CARIBBEAN HEALTHCARE SYSTEM
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City | SAN JUAN
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State | PR
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Zip | 00921-3201
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Country | US
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Telephone | 787-641-7528
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Fax |
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Provider Business Mailing Address
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Address Line | 206 #12 CALLE 514 URB. VILLA CAROLINA
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City | CAROLINA
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State | PR
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Zip | 00985
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Country | US
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Telephone | 787-556-6466
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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