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General NPI Number Information
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NPI Number | 1265131510
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Entity Type | Individual
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Provider Name | ADRIANNA QUINTANILLA A-GNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/27/2023
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Last Update Date | 03/22/2023
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Provider Practice Location Address
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Address Line | 23119 W INTERSTATE 10 STE 9
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City | SAN ANTONIO
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State | TX
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Zip | 78257-1764
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Country | US
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Telephone | 210-972-8058
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Fax |
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Provider Business Mailing Address
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Address Line | 17050 ASHBURY LDG
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City | SAN ANTONIO
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State | TX
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Zip | 78247-5826
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Country | US
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Telephone | 210-213-7812
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | AG01230015
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1113491
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License Number State | TX
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