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General NPI Number Information
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NPI Number | 1366236762
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Entity Type | Individual
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Provider Name | MR. CORTEZ QUINN
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Gender | Male
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 3095 RICHMOND PKWY STE 201
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City | SAN PABLO
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State | CA
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Zip | 94806-5878
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Country | US
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Telephone | 510-778-2816
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Fax |
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Provider Business Mailing Address
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Address Line | 1333 WILLOW PASS RD STE 200
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City | CONCORD
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State | CA
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Zip | 94520-7923
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Country | US
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Telephone | 925-338-7928
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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 | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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