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General NPI Number Information
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NPI Number | 1295421071
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Entity Type | Individual
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Provider Name | SERVANDO QUINONES CMPSS
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Gender | Male
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Dates
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Enumeration Date | 04/13/2023
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 940 HOWARD ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-4114
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Country | US
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Telephone | 415-487-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 1940 WEBSTER ST STE 808
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City | OAKLAND
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State | CA
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Zip | 94612-2960
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Country | US
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Telephone | 415-579-7113
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | MPSS-TWERMO
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License Number State | CA
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