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General NPI Number Information
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NPI Number | 1144502147
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Entity Type | Individual
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Provider Name | MANUEL E. QUINONES
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Gender | Male
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Dates
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Enumeration Date | 09/15/2011
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Last Update Date | 09/15/2011
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Provider Practice Location Address
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Address Line | 1 E FLAGLER ST
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City | MIAMI
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State | FL
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Zip | 33131-1003
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Country | US
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Telephone | 305-371-5868
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Fax | 305-371-9611
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Provider Business Mailing Address
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Address Line | 120 JEFFERSON AVE APT 12021
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City | MIAMI BEACH
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State | FL
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Zip | 33139-7077
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Country | US
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Telephone | 305-371-5868
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Fax | 305-371-9611
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS30851
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License Number State | FL
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