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General NPI Number Information
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NPI Number | 1881855393
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Entity Type | Organization
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Legal Business Name | VISION QUEST INDUSTRIES, INC.
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Dates
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Enumeration Date | 06/18/2008
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Last Update Date | 12/14/2022
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Provider Practice Location Address
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Address Line | 1390 DECISION ST SUITE A
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City | VISTA
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State | CA
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Zip | 92081-8523
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Country | US
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Telephone | 949-261-3000
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Fax | 888-266-6968
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Provider Business Mailing Address
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Address Line | 3187 RED HILL AVE STE 150
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City | COSTA MESA
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State | CA
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Zip | 92626-3449
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Country | US
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Telephone | 949-261-3000
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Fax | 888-266-6968
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Authorized Official
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Title or Position | VICE PRESIDENT REIMBURSEMENT
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Name | RICHARD ROY HUFF
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Credential |
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Telephone | 949-794-3440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 101923
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 101923
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License Number State | CA
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