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General NPI Number Information
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NPI Number | 1467676023
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Entity Type | Individual
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Provider Name | MIGUEL A QUINTANA JR. PT
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Gender | Male
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 08/17/2021
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Provider Practice Location Address
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Address Line | 1901 SE 18TH AVE STE 102
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City | OCALA
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State | FL
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Zip | 34471
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Country | US
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Telephone | 352-789-6776
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Fax | 352-390-6359
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Provider Business Mailing Address
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Address Line | 1901 SE 18TH AVE STE 500
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City | OCALA
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State | FL
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Zip | 34471-8212
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Country | US
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Telephone | 352-789-6776
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Fax | 352-390-6359
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT22215
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License Number State | FL
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