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General NPI Number Information
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NPI Number | 1578171211
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Entity Type | Individual
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Provider Name | JAZMINE KARA QUINTERO
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Gender | Female
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Dates
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Enumeration Date | 07/20/2020
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 8555 TAFT ST
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City | MERRILLVILLE
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State | IN
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Zip | 46410-6123
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Country | US
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Telephone | 219-769-4005
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Fax | 219-392-6998
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Provider Business Mailing Address
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Address Line | 8555 TAFT ST
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City | MERRILLVILLE
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State | IN
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Zip | 46410-6123
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Country | US
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Telephone | 219-769-4005
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Fax | 193-926-9982
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209021178
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 71010251A
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License Number State | IN
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