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General NPI Number Information
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NPI Number | 1871188367
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Entity Type | Individual
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Provider Name | QUINTA ENI TANGOH
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Gender | Female
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Dates
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Enumeration Date | 03/05/2021
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 26401 EMERY RD STE 108
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City | WARRENSVILLE HEIGHTS
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State | OH
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Zip | 44128-6210
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Country | US
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Telephone | 440-520-1831
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Fax |
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Provider Business Mailing Address
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Address Line | 1943 SUNSET DR
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City | RICHMOND HEIGHTS
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State | OH
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Zip | 44143-1248
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Country | US
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Telephone | 330-256-9592
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0028516
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License Number State | OH
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