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General NPI Number Information
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NPI Number | 1942223201
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Entity Type | Organization
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Legal Business Name | EAST BAY MEDICAL PC
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 04/14/2008
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Provider Practice Location Address
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Address Line | 105B LOTTIE LANE
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City | FAIRHOPE
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State | AL
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Zip | 36532
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Country | US
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Telephone | 251-990-7330
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Fax | 251-990-7331
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Provider Business Mailing Address
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Address Line | 105B LOTTIE LANE
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City | FAIRHOPE
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State | AL
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Zip | 36532
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Country | US
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Telephone | 251-990-7330
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Fax | 251-990-7331
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FRANCISCO J. QUINONES
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Credential | MD
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Telephone | 251-990-7330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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