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General NPI Number Information
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NPI Number | 1023340585
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Entity Type | Individual
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Provider Name | DOUGLAS TYRONE LIVINGSTON QUINN PSYD, LMFT
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Gender | Male
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Dates
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Enumeration Date | 02/09/2010
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Last Update Date | 02/01/2025
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Provider Practice Location Address
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Address Line | 1652 NAVAJO DR
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City | SAINT GEORGE
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State | UT
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Zip | 84790-7731
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Country | US
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Telephone | 415-656-9419
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Fax |
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Provider Business Mailing Address
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Address Line | 411 VINEWOOD CT
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City | SUISUN CITY
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State | CA
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Zip | 94585-1784
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC 45338
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License Number State | CA
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