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NPI 1073714432

NPI 1073714432 : RODOLFO A QUINTANA PSYD : MCALLEN, TX

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General NPI Number Information
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    NPI Number           |    1073714432
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    Entity Type          |    Individual 
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    Provider Name        |    RODOLFO A QUINTANA PSYD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/31/2007
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    Last Update Date     |    12/21/2025
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Provider Practice Location Address
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    Address Line         |    1801 S 5TH ST STE 122 
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78503-2915
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    Country              |    US
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    Telephone            |    956-630-9454
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    Fax                  |    956-630-9447
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Provider Business Mailing Address
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    Address Line         |    PO BOX 5622 
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78502-5622
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    Country              |    US
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    Telephone            |    956-630-9454
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    Fax                  |    956-630-9447
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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       |    32103
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    License Number State |    TX
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