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General NPI Number Information
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NPI Number | 1548553712
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Entity Type | Individual
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Provider Name | ANTHONY JAMES QUINDARDO PA-C
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Gender | Male
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Dates
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Enumeration Date | 05/20/2011
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 16332 CONNEAUT LAKE RD
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City | MEADVILLE
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State | PA
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Zip | 16335-3843
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Country | US
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Telephone | 814-336-2935
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Fax |
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Provider Business Mailing Address
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Address Line | 16332 CONNEAUT LAKE RD
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City | MEADVILLE
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State | PA
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Zip | 16335-3806
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Country | US
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Telephone | 814-337-3300
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | OA002568
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA054510
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License Number State | PA
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