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General NPI Number Information
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NPI Number | 1992667042
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Entity Type | Individual
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Provider Name | CLAUDIA NELLY QUEVEDO DPT
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Gender | Female
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Dates
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Enumeration Date | 11/26/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 1310 3RD AVE
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City | CHULA VISTA
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State | CA
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Zip | 91911-4371
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Country | US
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Telephone | 619-420-0869
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Fax | 619-420-3355
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Provider Business Mailing Address
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Address Line | PO BOX 2696
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City | EL CAJON
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State | CA
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Zip | 92021-0696
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Country | US
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Telephone | 619-579-1625
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Fax | 619-579-1611
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 309255
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License Number State | CA
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