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General NPI Number Information
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NPI Number | 1053585349
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Entity Type | Individual
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Provider Name | HEATHER MICHELE ESQUIVEL M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 12606 GREENVILLE AVE STE 200
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City | DALLAS
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State | TX
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Zip | 75243-1923
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Country | US
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Telephone | 469-780-4590
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Fax | 833-450-0375
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Provider Business Mailing Address
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Address Line | 5402 ARAPAHO RD
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City | DALLAS
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State | TX
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Zip | 75248-6905
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Country | US
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Telephone | 469-780-4590
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Fax | 833-450-0375
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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 | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | Q7362
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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 | Q7362
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License Number State | TX
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