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General NPI Number Information
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NPI Number | 1699680496
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Entity Type | Individual
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Provider Name | JAZMIN QUINONEZ
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Gender | Female
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 1965 BIRKMONT DR
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City | RANCHO CORDOVA
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State | CA
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Zip | 95742-6407
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Country | US
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Telephone | 926-294-9025
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Fax |
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Provider Business Mailing Address
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Address Line | 9750 OLD PLACERVILLE RD APT 29
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City | SACRAMENTO
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State | CA
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Zip | 95827-3351
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Country | US
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Telephone | 714-486-4152
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | B4BEF8BD73
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License Number State | CA
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