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General NPI Number Information
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NPI Number | 1871597302
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Entity Type | Individual
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Provider Name | GERARDO DAVID QUINONES DMD
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Gender | Male
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 05/14/2021
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Provider Practice Location Address
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Address Line | 1703 N SAINT MARYS ST
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City | BEEVILLE
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State | TX
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Zip | 78102-2738
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Country | US
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Telephone | 361-358-9780
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Fax | 361-358-9787
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Provider Business Mailing Address
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Address Line | 136 KESSLER LN
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City | BEEVILLE
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State | TX
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Zip | 78102-8409
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Country | US
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Telephone | 520-425-5058
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Fax | 361-358-9787
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6346
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 1436
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 28762
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D7196
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License Number State | AZ
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