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General NPI Number Information
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NPI Number | 1033360995
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Entity Type | Individual
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Provider Name | LUIS MIGUEL ESPARZA M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/08/2008
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Last Update Date | 02/27/2017
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Provider Practice Location Address
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Address Line | 712 HOSPITAL DR
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City | ANDREWS
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State | TX
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Zip | 79714-3617
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Country | US
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Telephone | 432-464-2450
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Fax | 432-464-2566
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Provider Business Mailing Address
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Address Line | 1000 FM 300
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City | LEVELLAND
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State | TX
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Zip | 79336-6235
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Country | US
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Telephone | 806-894-7842
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Fax | 806-894-3378
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | P6966
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A110384
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License Number State | CA
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