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General NPI Number Information
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NPI Number | 1891079315
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Entity Type | Organization
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Legal Business Name | ROBERT A. QUINT MD MEDICAL CORPORATION
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Dates
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Enumeration Date | 10/03/2011
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Last Update Date | 10/03/2011
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Provider Practice Location Address
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Address Line | 173 N MORRISON AVE SUITE C
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City | SAN JOSE
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State | CA
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Zip | 95126-2712
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Country | US
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Telephone | 408-275-9410
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Fax |
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Provider Business Mailing Address
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Address Line | 173 N MORRISON AVE SUITE C
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City | SAN JOSE
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State | CA
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Zip | 95126-2712
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Country | US
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Telephone | 408-275-9410
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | DR. ROBERT QUINT
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Credential | MD
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Telephone | 408-275-9410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | C33641
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License Number State | CA
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