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General NPI Number Information
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NPI Number | 1861601072
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Entity Type | Organization
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Legal Business Name | QUICK CARE INC.
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 08/24/2007
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Provider Practice Location Address
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Address Line | 21920 MERIDIAN AVE E
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City | GRAHAM
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State | WA
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Zip | 98338-8421
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Country | US
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Telephone | 253-847-5650
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Fax | 253-847-5653
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Provider Business Mailing Address
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Address Line | 15616 22ND AVE E
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City | TACOMA
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State | WA
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Zip | 98445-4502
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Country | US
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Telephone | 253-847-5650
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Fax | 253-847-5653
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Authorized Official
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Title or Position | MANAGER
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Name | RONALD EUGENE MOREHOUSE
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Credential | PAC
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Telephone | 253-847-5650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 601 959 767 0
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License Number State | WA
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