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General NPI Number Information
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NPI Number | 1073357356
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Entity Type | Individual
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Provider Name | LAUREL ESPARRA FNP BC
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Gender | Female
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Dates
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Enumeration Date | 06/21/2024
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 986 TIBBETTS WICK RD
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City | GIRARD
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State | OH
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Zip | 44420-1138
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Country | US
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Telephone | 330-736-1601
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Fax |
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Provider Business Mailing Address
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Address Line | 517 6TH ST
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City | STRUTHERS
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State | OH
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Zip | 44471-1062
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Country | US
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Telephone | 330-207-8888
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP0033100
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License Number State | OH
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