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General NPI Number Information
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NPI Number | 1962422592
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Entity Type | Individual
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Provider Name | BRUCE JAMES QUINN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 06/19/2024
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Provider Practice Location Address
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Address Line | 1611 NW 12TH AVENUE PEDIATRIC EMERGENCY DEPT
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City | MIAMI
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State | FL
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Zip | 33136-1096
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Country | US
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Telephone | 305-585-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 1701 SUNSET HARBOR DRIVE UNIT #301
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City | MIAMI BEACH
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State | FL
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Zip | 33139-1474
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Country | US
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Telephone |
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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 | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | ME62390
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 146D00000X
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Taxonomy Name | Personal Emergency Response Attendant
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License Number | ME62390
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License Number State | FL
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