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General NPI Number Information
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NPI Number | 1831852821
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Entity Type | Organization
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Legal Business Name | DRQ, INC
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Dates
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Enumeration Date | 10/18/2021
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Last Update Date | 11/03/2021
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Provider Practice Location Address
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Address Line | 4240 W 16TH AVE
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City | HIALEAH
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State | FL
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Zip | 33012-7624
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Country | US
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Telephone | 888-306-4593
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Fax |
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Provider Business Mailing Address
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Address Line | 16817 SW 51ST ST
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City | MIRAMAR
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State | FL
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Zip | 33027-4918
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Country | US
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Telephone | 786-543-8280
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. AMALIA QUINONES
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Credential |
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Telephone | 786-543-8280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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