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General NPI Number Information
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NPI Number | 1396777132
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Entity Type | Individual
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Provider Name | JANINE QUINLAN NP
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Gender | Female
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 01/18/2013
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Provider Practice Location Address
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Address Line | 1519 NYE RD WAYNE BEHAVIORAL NETWORK SUITE 1000
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City | LYONS
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State | NY
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Zip | 14489-9133
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Country | US
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Telephone | 315-946-5722
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Fax | 315-946-5726
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Provider Business Mailing Address
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Address Line | 8382 WICKHAM BLVD
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City | SODUS POINT
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State | NY
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Zip | 14555-9608
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Country | US
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Telephone | 315-945-9831
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F400618
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | F360186
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | F000377
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License Number State | NY
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