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NPI 1023038312

NPI 1023038312 : RENEE S QUINTO PH.D. : SACRAMENTO, CA

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General NPI Number Information
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    NPI Number           |    1023038312
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    Entity Type          |    Individual 
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    Provider Name        |    RENEE S QUINTO PH.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/20/2006
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    Last Update Date     |    07/09/2007
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Provider Practice Location Address
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    Address Line         |    1329 HOWE AVE SUITE 201
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95825-3363
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    Country              |    US
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    Telephone            |    916-212-8470
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    Fax                  |    916-625-0357
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1687 
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    City                 |    ROCKLIN
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    State                |    CA
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    Zip                  |    95677-7687
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    Country              |    US
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    Telephone            |    916-212-8470
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    Fax                  |    916-625-0357
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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        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    PSY16926
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    License Number State |    CA
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