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General NPI Number Information
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NPI Number | 1063822856
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Entity Type | Individual
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Provider Name | PATRICIA ESPINOZA LPC
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Gender | Female
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Dates
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Enumeration Date | 05/01/2014
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Last Update Date | 06/28/2021
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Provider Practice Location Address
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Address Line | 503 N MAIN ST STE 320
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City | PUEBLO
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State | CO
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Zip | 81003-3139
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Country | US
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Telephone | 719-792-9237
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3421
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City | PUEBLO
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State | CO
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Zip | 81005-0421
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Country | US
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Telephone | 719-792-9237
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC.0014306
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00493400
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License Number State | NJ
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