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General NPI Number Information
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NPI Number | 1437045358
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Entity Type | Organization
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Legal Business Name | QUANTUM THERANOSTICS PROGRAM AND TREATMENT CENTER
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 145 S CHAPARRAL CT STE 101
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City | ANAHEIM
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State | CA
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Zip | 92808-2265
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Country | US
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Telephone | 888-998-8463
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Fax |
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Provider Business Mailing Address
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Address Line | 36013 REDGRAVE WAY
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City | MURRIETA
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State | CA
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Zip | 92562-6609
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Country | US
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Telephone | 951-533-9404
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | JESSICA CUESTA
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Credential | NP
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Telephone | 818-939-9190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207UN0902X
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Taxonomy Name | Nuclear Imaging & Therapy Physician
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License Number |
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License Number State |
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