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General NPI Number Information
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NPI Number | 1619858891
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Entity Type | Individual
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Provider Name | SANDRA QUINTANA PPS
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Gender | Female
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1331 E CALAVERAS BLVD
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City | MILPITAS
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State | CA
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Zip | 95035-5707
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Country | US
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Telephone | 408-635-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 1331 E CALAVERAS BLVD
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City | MILPITAS
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State | CA
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Zip | 95035-5707
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Country | US
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Telephone | 408-635-2600
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 210065398
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License Number State | CA
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