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General NPI Number Information
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NPI Number | 1720907496
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Entity Type | Individual
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Provider Name | JOANNA QUINTANA GRANADOS
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Gender | Female
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 7500 VISCOUNT BLVD STE 297
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City | EL PASO
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State | TX
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Zip | 79925-5695
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Country | US
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Telephone | 915-701-3639
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Fax |
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Provider Business Mailing Address
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Address Line | 12410 MIND THAT BIRD DR
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City | EL PASO
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State | TX
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Zip | 79928-2264
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Country | US
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Telephone | 915-255-6735
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 95118
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License Number State | TX
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