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General NPI Number Information
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NPI Number | 1346496023
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Entity Type | Organization
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Legal Business Name | OSCAR C. QUINTANA DDS,PC
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Dates
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Enumeration Date | 08/13/2008
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Last Update Date | 08/13/2008
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Provider Practice Location Address
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Address Line | 8501 CANDELARIA RD NE STE C
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-1034
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Country | US
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Telephone | 505-292-8300
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Fax | 505-332-4335
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Provider Business Mailing Address
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Address Line | 8501 CANDELARIA RD NE STE C
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-1034
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Country | US
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Telephone | 505-292-8300
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Fax | 505-332-4335
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. VICKI PISOTTI
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Credential |
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Telephone | 505-292-1582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 1513
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License Number State | NM
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