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NPI 1043622467

NPI 1043622467 : RACHEL QUINTANA : ALACHUA, FL

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General NPI Number Information
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    NPI Number           |    1043622467
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    Entity Type          |    Individual 
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    Provider Name        |    RACHEL QUINTANA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/21/2014
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    Last Update Date     |    10/12/2019
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Provider Practice Location Address
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    Address Line         |    10110 NW COUNTY ROAD 235 
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    City                 |    ALACHUA
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    State                |    FL
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    Zip                  |    32615
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    Country              |    US
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    Telephone            |    386-462-7346
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    Fax                  |    386-462-7381
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Provider Business Mailing Address
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    Address Line         |    10110 NW COUNTY ROAD 235 
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    City                 |    ALACHUA
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    State                |    FL
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    Zip                  |    32615-6660
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    Country              |    US
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    Telephone            |    352-339-3267
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    Fax                  |    386-462-9666
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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        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    ARNP 9278563
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    License Number State |    FL
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