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General NPI Number Information
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NPI Number | 1851065619
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Entity Type | Individual
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Provider Name | MERCEDES QUIRING
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Gender | Female
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Dates
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Enumeration Date | 08/05/2021
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 8803 S 101ST EAST AVE STE 130
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City | TULSA
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State | OK
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Zip | 74133-5728
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Country | US
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Telephone | 918-579-3130
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Fax | 918-579-3139
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Provider Business Mailing Address
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Address Line | 1111 W 17TH ST
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City | TULSA
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State | OK
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Zip | 74107-1886
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Country | US
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Telephone | 918-561-1145
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 5192
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License Number State | OK
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