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General NPI Number Information
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NPI Number | 1922564780
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Entity Type | Individual
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Provider Name | EVELYN QUINONES
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Gender | Female
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Dates
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Enumeration Date | 02/18/2019
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Last Update Date | 02/18/2019
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Provider Practice Location Address
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Address Line | 3660 MAGUIRE BLVD STE 100
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City | ORLANDO
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State | FL
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Zip | 32803-3059
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Country | US
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Telephone | 407-674-6870
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Fax |
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Provider Business Mailing Address
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Address Line | 1911 SILVERLEAF LN APT 201
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City | ORLANDO
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State | FL
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Zip | 32822-9032
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Country | US
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Telephone | 609-506-9509
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 26NH07561400
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License Number State | FL
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