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General NPI Number Information
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NPI Number | 1144660614
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Entity Type | Individual
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Provider Name | SYLVIA T QUINATA MA, IMFT
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Gender | Female
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Dates
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Enumeration Date | 06/28/2013
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Last Update Date | 06/28/2013
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Provider Practice Location Address
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Address Line | 790 GOVERNOR CARLOS CAMACHO RD.
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City | TAMUNING
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State | GU
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Zip | 96913
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Country | US
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Telephone | 671-647-5325
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Fax | 671-647-0250
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Provider Business Mailing Address
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Address Line | 790 GOVERNOR CARLOS CAMACHO RD.
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City | TAMUNING
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State | GU
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Zip | 96913
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Country | US
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Telephone | 671-647-5325
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Fax | 671-647-0250
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | IMF-127
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License Number State | GU
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