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General NPI Number Information
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NPI Number | 1093690646
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Entity Type | Individual
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Provider Name | LUIS GUILLERMO QUINONES LMSW
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Gender | Male
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 114 CHURCH ST
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City | FREEPORT
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State | NY
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Zip | 11520-3833
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Country | US
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Telephone | 212-470-3580
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Fax |
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Provider Business Mailing Address
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Address Line | 605 HAIG ST
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City | BALDWIN
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State | NY
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Zip | 11510-3032
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Country | US
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Telephone | 212-470-3580
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 126836
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License Number State | NY
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