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General NPI Number Information
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NPI Number | 1194631267
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Entity Type | Individual
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Provider Name | ALTHERESE QUINGUA
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Gender | Female
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 6204 W SILVER SPRING DR STE D
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City | MILWAUKEE
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State | WI
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Zip | 53218-3137
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Country | US
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Telephone | 414-999-6464
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Fax | 414-250-0034
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Provider Business Mailing Address
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Address Line | 2054 S 102ND ST APT 328
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City | WEST ALLIS
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State | WI
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Zip | 53227-1339
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Country | US
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Telephone | 414-739-0967
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 23004-40
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License Number State | WI
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