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General NPI Number Information
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NPI Number | 1518126309
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Entity Type | Individual
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Provider Name | ELEAZAR QUINTANILLA JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/05/2008
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Last Update Date | 09/26/2012
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Provider Practice Location Address
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Address Line | 3333 RESEARCH PLZ
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City | SAN ANTONIO
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State | TX
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Zip | 78235-5154
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Country | US
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Telephone | 210-297-6500
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Fax | 210-297-0352
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Provider Business Mailing Address
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Address Line | 3333 RESEARCH PLZ
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City | SAN ANTONIO
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State | TX
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Zip | 78235-5154
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Country | US
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Telephone | 210-297-6500
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Fax | 210-297-0352
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | N1085
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | N1085
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | E14821
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License Number State | HI
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | E14821
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License Number State | HI
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