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General NPI Number Information
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NPI Number | 1801754650
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Entity Type | Individual
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Provider Name | QUENTIN RUBEN CHARLES GARY
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Gender | Male
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 3233 PAYDAY LN
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City | COLUMBUS
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State | OH
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Zip | 43232-7427
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Country | US
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Telephone | 937-580-1025
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Fax |
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Provider Business Mailing Address
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Address Line | 3233 PAYDAY LN
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City | COLUMBUS
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State | OH
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Zip | 43232-7427
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Country | US
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Telephone | 937-580-1025
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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 | 376J00000X
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Taxonomy Name | Homemaker
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License Number | UU232681
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License Number State | OH
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