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General NPI Number Information
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NPI Number | 1679627194
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Entity Type | Individual
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Provider Name | GLENN VICENTE QUINTANA DC
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Gender | Male
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 02/04/2020
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Provider Practice Location Address
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Address Line | 8955 SW 87TH CT STE 101
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City | MIAMI
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State | FL
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Zip | 33176-2264
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Country | US
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Telephone | 305-670-9313
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Fax | 305-670-9313
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Provider Business Mailing Address
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Address Line | 8955 SW 87TH CT STE 101
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City | MIAMI
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State | FL
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Zip | 33176-2264
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Country | US
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Telephone | 305-670-9313
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Fax | 305-670-9313
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH6296
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License Number State | FL
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