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NPI 1033790670

NPI 1033790670 : JOE A ESPINOZA JR. MD : SCOTTSBLUFF, NE

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General NPI Number Information
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    NPI Number           |    1033790670
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    Entity Type          |    Individual 
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    Provider Name        |    JOE A ESPINOZA JR. MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/15/2021
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    Last Update Date     |    09/19/2025
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Provider Practice Location Address
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    Address Line         |    2 WEST 42ND ST STE 3200
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    City                 |    SCOTTSBLUFF
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    State                |    NE
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    Zip                  |    69361-4669
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    Country              |    US
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    Telephone            |    308-635-3888
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4021 AVENUE B 
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    City                 |    SCOTTSBLUFF
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    State                |    NE
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    Zip                  |    69361-4602
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    Country              |    US
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    Telephone            |    308-630-1111
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    Fax                  |    308-630-1815
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    U1267
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    36796
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    License Number State |    NE
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Taxonomy #3
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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