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General NPI Number Information
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NPI Number | 1386529063
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Entity Type | Individual
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Provider Name | QUINN MINNICH
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Gender | Male
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 7580 NORTHCLIFF AVE
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City | CLEVELAND
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State | OH
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Zip | 44144-3270
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Country | US
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Telephone | 833-455-8622
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Fax |
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Provider Business Mailing Address
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Address Line | 2733 E 12TH ST PH A2ND
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City | BROOKLYN
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State | NY
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Zip | 11235-4669
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Country | US
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Telephone | 833-455-8622
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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