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NPI 1821622457

NPI 1821622457 : QUARTET HEALTH GROUP INC : RANCHO CORDOVA, CA

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General NPI Number Information
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    NPI Number           |    1821622457
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    Entity Type          |    Organization 
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    Legal Business Name  |    QUARTET HEALTH GROUP INC 
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Dates
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    Enumeration Date     |    02/21/2020
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    Last Update Date     |    05/30/2020
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Provider Practice Location Address
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    Address Line         |    10901 FOLSOM BLVD STE A 
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    City                 |    RANCHO CORDOVA
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    State                |    CA
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    Zip                  |    95670-5162
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    Country              |    US
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    Telephone            |    916-599-0891
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    Fax                  |    916-200-1385
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Provider Business Mailing Address
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    Address Line         |    10901 FOLSOM BLVD STE A 
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    City                 |    RANCHO CORDOVA
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    State                |    CA
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    Zip                  |    95670-5162
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    Country              |    US
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    Telephone            |    916-599-0891
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    Fax                  |    916-200-1385
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     ARMINE  ASATRYAN 
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    Credential           |    
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    Telephone            |    916-599-0891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR0208X
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    Taxonomy Name        |    Mobile Radiology Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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