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General NPI Number Information
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NPI Number | 1912923749
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Entity Type | Organization
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Legal Business Name | HAROLD L. MCQUINN, DDS INC
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 06/03/2010
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Provider Practice Location Address
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Address Line | 9911 W PICO BLVD 1500
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City | LOS ANGELES
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State | CA
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Zip | 90035-2703
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Country | US
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Telephone | 310-843-0909
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Fax | 310-551-1322
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Provider Business Mailing Address
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Address Line | 9911 W PICO BLVD 1500
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City | LOS ANGELES
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State | CA
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Zip | 90035-2703
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Country | US
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Telephone | 310-843-0909
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Fax | 310-551-1322
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Authorized Official
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Title or Position | OWNER
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Name | DR. HAROLD L MCQUINN
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Credential | DDS
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Telephone | 310-843-0909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 28041
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License Number State | CA
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