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General NPI Number Information
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NPI Number | 1063238244
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Entity Type | Individual
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Provider Name | MANUEL SHIU QUIRINO JR. MSN,FNP-BC, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 3045 E FLORENCE AVE
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-5837
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Country | US
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Telephone | 323-587-7771
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Fax |
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Provider Business Mailing Address
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Address Line | 8201 CAMINO MEDIA APT 131
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City | BAKERSFIELD
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State | CA
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Zip | 93311-2015
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Country | US
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Telephone | 661-304-0809
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95303557
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License Number State | CA
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