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General NPI Number Information
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NPI Number | 1467924902
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Entity Type | Individual
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Provider Name | ANTHONY QUESADA APRN
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Gender | Male
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Dates
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Enumeration Date | 12/21/2018
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Last Update Date | 08/03/2022
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Provider Practice Location Address
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Address Line | 3315 ALGONQUIN RD STE 420C
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City | ROLLING MEADOWS
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State | IL
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Zip | 60008-3250
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Country | US
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Telephone | 847-345-2441
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Fax | 847-474-9263
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Provider Business Mailing Address
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Address Line | 934 W OXFORD CT
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City | PALATINE
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State | IL
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Zip | 60067-6646
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Country | US
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Telephone | 847-644-9317
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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 | 209018558
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License Number State | IL
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