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General NPI Number Information
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NPI Number | 1003945809
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Entity Type | Individual
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Provider Name | BENIGNO QUIRARTE M.S.
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Gender | Male
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 9265 SKY PARK CT STE 100
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City | SAN DIEGO
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State | CA
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Zip | 92123-4375
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Country | US
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Telephone | 844-737-3638
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Fax | 619-403-9496
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Provider Business Mailing Address
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Address Line | 97 TIMBRE
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-2036
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Country | US
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Telephone | 949-468-9122
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFC44413
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License Number State | CA
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