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General NPI Number Information
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NPI Number | 1912957861
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Entity Type | Organization
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Legal Business Name | MEDQUEST HEALTHCARE, P.C.
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 4329 LANCASTER AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19104-1303
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Country | US
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Telephone | 215-387-3944
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Fax |
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Provider Business Mailing Address
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Address Line | 1180 PARKWOOD RD
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City | BLUE BELL
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State | PA
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Zip | 19422-4211
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Country | US
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Telephone | 215-275-8685
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. ERICA M BELTON
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Credential | M.D.
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Telephone | 215-275-8685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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