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General NPI Number Information
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NPI Number | 1891725073
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Entity Type | Individual
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Provider Name | RICHARD I QUINCY JR. MS, PT, ATC
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Gender | Male
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2615 CURTIS ST
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City | DENVER
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State | CO
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Zip | 80205-2633
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Country | US
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Telephone | 305-433-0284
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Fax |
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Provider Business Mailing Address
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Address Line | 757 E. 20TH AVE., STE 370
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City | DENVER
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State | CO
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Zip | 80205-3652
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Country | US
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Telephone | 305-433-0284
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | PT015049
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT004538
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 0003770
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License Number State | CO
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