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General NPI Number Information
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NPI Number | 1912446246
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Entity Type | Organization
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Legal Business Name | Q5 MEDICAL SOLUTIONS, LLC
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Dates
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Enumeration Date | 02/20/2017
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Last Update Date | 02/20/2017
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Provider Practice Location Address
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Address Line | 7167 COLLEYVILLE BLVD SUITE 103
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City | COLLEYVILLE
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State | TX
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Zip | 76034-8001
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Country | US
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Telephone | 214-405-6846
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Fax |
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Provider Business Mailing Address
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Address Line | 7167 COLLEYVILLE BLVD SUITE 103
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City | COLLEYVILLE
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State | TX
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Zip | 76034-8001
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Country | US
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Telephone | 214-405-6846
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MRS. LEANN E. MOORE
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Credential | CMA, CMC
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Telephone | 214-405-6846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 20176000158
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License Number State | CO
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