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General NPI Number Information
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NPI Number | 1518050897
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Entity Type | Individual
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Provider Name | QUENLYN J. LARSON C.N.P. DNP
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Gender | Female
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Dates
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Enumeration Date | 10/01/2006
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 550 E ROMIE LANE SUITE K
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City | SALINAS
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State | CA
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Zip | 93901-4072
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Country | US
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Telephone | 831-422-9066
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Fax | 831-422-4312
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Provider Business Mailing Address
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Address Line | 10460 FAIRWAY LANE
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City | CARMEL
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State | CA
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Zip | 93923
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Country | US
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Telephone | 707-826-8633
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Fax | 707-826-8638
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | RN-187859
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | NP 19804
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License Number State | CA
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