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General NPI Number Information
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NPI Number | 1841990611
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Entity Type | Organization
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Legal Business Name | Q HEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 03/09/2023
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Last Update Date | 03/09/2023
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Provider Practice Location Address
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Address Line | 703 OSUNA RD NE STE 5
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City | ALBUQUERQUE
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State | NM
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Zip | 87113-1392
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Country | US
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Telephone | 505-456-2392
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Fax |
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Provider Business Mailing Address
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Address Line | 6405 LOS CANTOS AVE NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87114-6329
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Country | US
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Telephone | 505-412-5247
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Fax |
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Authorized Official
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Title or Position | OWNER / PROVIDER
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Name | ASHLEY QUINTANA
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Credential | FNP-C
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Telephone | 505-412-5247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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