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General NPI Number Information
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NPI Number | 1720654585
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Entity Type | Individual
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Provider Name | GABRIELLA S. QUINONES
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Gender | Female
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Dates
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Enumeration Date | 06/02/2021
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Last Update Date | 06/02/2021
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Provider Practice Location Address
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Address Line | 3141 N 3RD AVE # 101
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City | PHOENIX
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State | AZ
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Zip | 85013-4360
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Country | US
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Telephone | 602-512-3055
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Fax |
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Provider Business Mailing Address
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Address Line | 2929 E THOMAS RD
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City | PHOENIX
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State | AZ
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Zip | 85016-8034
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Country | US
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Telephone | 602-470-5000
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LMSW-19470
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License Number State | AZ
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