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General NPI Number Information
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NPI Number | 1730052564
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Entity Type | Organization
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Legal Business Name | JOHN M QUINONES MA LMFT
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Dates
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Enumeration Date | 09/26/2025
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 2305 LANGFORD AVE
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City | MODESTO
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State | CA
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Zip | 95350-3330
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Country | US
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Telephone | 209-499-4251
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Fax | 209-215-0202
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Provider Business Mailing Address
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Address Line | 2305 LANGFORD AVE
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City | MODESTO
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State | CA
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Zip | 95350-3330
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Country | US
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Telephone | 209-499-4251
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Fax | 209-215-0202
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | JOHN M. QUINONES
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Credential | MA
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Telephone | 209-499-4251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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