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General NPI Number Information
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NPI Number | 1811792252
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Entity Type | Organization
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Legal Business Name | JENNIFER QUINTERO, NURSE PRACTITIONER IN PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 7 CUMMINGS LN
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City | HIGHLAND
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State | NY
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Zip | 12528-2663
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Country | US
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Telephone | 845-288-4390
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Fax |
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Provider Business Mailing Address
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Address Line | 128 N OHIOVILLE RD
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City | NEW PALTZ
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State | NY
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Zip | 12561-3419
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Country | US
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Telephone | 845-518-8823
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER IN PSYCHIATRY
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Name | JENNIFER RUTH QUINTERO
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Credential | NPP
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Telephone | 845-288-4390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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