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General NPI Number Information
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NPI Number | 1578198065
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Entity Type | Individual
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Provider Name | SAMANTHA QUESADA DPM
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Gender | Female
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Dates
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Enumeration Date | 03/05/2020
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 3100 TELEGRAPH AVE
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City | OAKLAND
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State | CA
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Zip | 94609-3239
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Country | US
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Telephone | 800-607-6377
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Fax |
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Provider Business Mailing Address
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Address Line | 3801 MIRANDA AVE
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City | PALO ALTO
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State | CA
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Zip | 94304-1290
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Country | US
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Telephone |
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | EL7100
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License Number State | CA
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