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General NPI Number Information
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NPI Number | 1740604602
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Entity Type | Individual
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Provider Name | ARLENE QUINO
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Gender | Female
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Dates
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Enumeration Date | 02/13/2014
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Last Update Date | 02/13/2014
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Provider Practice Location Address
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Address Line | 4277 65TH PL
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City | WOODSIDE
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State | NY
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Zip | 11377-5054
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Country | US
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Telephone | 718-429-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 8950 56 AVE. 3F
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City | ELMHURST
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State | NY
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Zip | 11373-4903
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Country | US
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Telephone | 305-878-0058
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 781221131
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License Number State | NY
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