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General NPI Number Information
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NPI Number | 1881381291
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Entity Type | Organization
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Legal Business Name | ADVANCE PRIMARY QUALITY CARE SERVICES
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Dates
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Enumeration Date | 04/18/2023
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Last Update Date | 05/02/2023
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Provider Practice Location Address
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Address Line | 1317 EDGEWATER DR STE 7048
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City | ORLANDO
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State | FL
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Zip | 32804-6350
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Country | US
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Telephone | 305-915-4130
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Fax |
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Provider Business Mailing Address
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Address Line | 10941 NW 12TH DR
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City | PLANTATION
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State | FL
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Zip | 33322-6992
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Country | US
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Telephone | 305-799-1185
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | RHEA CUALING
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Credential | NP
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Telephone | 305-799-1185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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