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NPI 1699568691

NPI 1699568691 : LEIDY J CARDONA QUINTERO DNP : MISSION HILLS, CA

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General NPI Number Information
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    NPI Number           |    1699568691
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    Entity Type          |    Individual 
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    Provider Name        |    LEIDY J CARDONA QUINTERO DNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/23/2025
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    Last Update Date     |    01/07/2026
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Provider Practice Location Address
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    Address Line         |    15031 RINALDI ST 
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    City                 |    MISSION HILLS
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    State                |    CA
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    Zip                  |    91345-1207
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    Country              |    US
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    Telephone            |    818-365-8051
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    15031 RINALDI ST 
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    City                 |    MISSION HILLS
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    State                |    CA
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    Zip                  |    91345-1207
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    95031221
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    License Number State |    CA
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