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General NPI Number Information
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NPI Number | 1194663070
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Entity Type | Individual
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Provider Name | MR. KARSTEN QUEVEDO
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Gender | Male
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 7988 CAVALIER WAY
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City | SACRAMENTO
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State | CA
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Zip | 95832-9728
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Country | US
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Telephone | 916-607-5037
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Fax |
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Provider Business Mailing Address
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Address Line | 7988 CAVALIER WAY
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City | SACRAMENTO
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State | CA
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Zip | 95832-9728
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Country | US
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Telephone | 916-607-5037
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 753780
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License Number State | CA
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