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General NPI Number Information
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NPI Number | 1891072187
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Entity Type | Organization
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Legal Business Name | QUALITY MEDICAL CENTER, PC
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Dates
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Enumeration Date | 11/15/2011
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Last Update Date | 11/15/2011
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Provider Practice Location Address
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Address Line | 15 WALKER HILL CIR
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City | CROSSVILLE
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State | TN
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Zip | 38555
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Country | US
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Telephone | 931-484-1100
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Fax | 931-456-8821
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Provider Business Mailing Address
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Address Line | PO BOX 37
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City | CROSSVILLE
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State | TN
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Zip | 38557-0037
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Country | US
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Telephone | 931-484-1100
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Fax | 931-456-8821
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. VISWESVAR SATYANARAYAN
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Credential | M.D.
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Telephone | 931-484-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | MD024150
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License Number State | TN
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