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General NPI Number Information
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NPI Number | 1164141578
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Entity Type | Individual
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Provider Name | JOSIE PANTALEON QUINN
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Gender | Female
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Dates
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Enumeration Date | 08/26/2022
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 150 DISTRICT CENTER DR
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City | PALM SPRINGS
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State | CA
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Zip | 92264-3626
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Country | US
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Telephone | 760-883-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 35325 DATE PALM DR STE 122
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City | CATHEDRAL CITY
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State | CA
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Zip | 92234-7030
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Country | US
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Telephone | 909-252-7607
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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