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General NPI Number Information
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NPI Number | 1689328684
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Entity Type | Individual
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Provider Name | NORMAN ALBERTO QUINTERO III DC
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Gender | Male
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Dates
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Enumeration Date | 02/08/2022
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Last Update Date | 07/03/2023
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Provider Practice Location Address
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Address Line | 3610 SHIRE BLVD STE 102
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City | RICHARDSON
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State | TX
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Zip | 75082-2239
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Country | US
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Telephone | 469-562-4247
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Fax |
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Provider Business Mailing Address
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Address Line | 2825 REAGAN ST APT A
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City | DALLAS
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State | TX
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Zip | 75219-7114
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Country | US
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Telephone | 727-517-6389
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 14992
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License Number State | TX
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