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General NPI Number Information
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NPI Number | 1376259440
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Entity Type | Individual
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Provider Name | ERIC QUINTANILLA FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 01/23/2023
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Last Update Date | 02/08/2026
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Provider Practice Location Address
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Address Line | 2829 BABCOCK RD STE 117
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City | SAN ANTONIO
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State | TX
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Zip | 78229-6009
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Country | US
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Telephone | 210-341-9614
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Fax |
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Provider Business Mailing Address
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Address Line | 1806 GRAY FOX CRK
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City | SAN ANTONIO
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State | TX
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Zip | 78245-3287
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Country | US
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Telephone | 940-224-4634
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1084602
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License Number State | TX
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