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General NPI Number Information
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NPI Number | 1548304512
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Entity Type | Individual
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Provider Name | MABEL QUINTERO R.PH.
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Gender | Female
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3131 FOREST HILL BLVD
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-5808
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Country | US
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Telephone | 561-967-3528
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Fax | 561-967-4032
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Provider Business Mailing Address
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Address Line | 3322 HOUSATONIC DR
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-5029
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Country | US
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Telephone | 561-967-8758
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS39904
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License Number State | FL
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