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General NPI Number Information
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NPI Number | 1073283008
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Entity Type | Organization
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Legal Business Name | TALQUIN INC
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Dates
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Enumeration Date | 09/21/2021
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 5000 W MIDWAY RD UNIT 13317
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City | FORT PIERCE
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State | FL
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Zip | 34981-1900
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Country | US
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Telephone | 877-825-7846
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Fax | 877-881-1049
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Provider Business Mailing Address
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Address Line | 5000 W MIDWAY RD UNIT 13317
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City | FORT PIERCE
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State | FL
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Zip | 34981-8056
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Country | US
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Telephone | 877-825-7846
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Fax | 877-881-1049
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MS. CRYSTAL SATONA QUINCE
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Credential | APRN
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Telephone | 772-255-8492
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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