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General NPI Number Information
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NPI Number | 1811136575
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Entity Type | Organization
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Legal Business Name | DONALD A QUINN JR. DDS
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Dates
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Enumeration Date | 02/19/2009
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Last Update Date | 02/19/2009
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Provider Practice Location Address
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Address Line | 207 LOWRY AVE NE
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City | MINNEAPOLIS
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State | MN
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Zip | 55418-3420
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Country | US
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Telephone | 612-787-0545
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Fax | 612-787-0544
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Provider Business Mailing Address
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Address Line | 207 LOWRY AVE NE
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City | MINNEAPOLIS
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State | MN
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Zip | 55418-3420
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Country | US
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Telephone | 612-787-0545
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Fax | 612-787-0544
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Authorized Official
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Title or Position | OWNER
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Name | DR. DONALD ARTHUR QUINN JR.
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Credential | DDS
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Telephone | 612-787-0545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 8042
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License Number State | MN
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