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General NPI Number Information
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NPI Number | 1114262243
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Entity Type | Individual
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Provider Name | KARLA ESPINOSA DE LOS MONTEROS PHD
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Gender | Female
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Dates
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Enumeration Date | 11/29/2012
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Last Update Date | 11/29/2012
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Provider Practice Location Address
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Address Line | 39500 LIBERTY ST
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City | FREMONT
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State | CA
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Zip | 94538-2211
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Country | US
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Telephone | 510-226-5603
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Fax | 510-933-0599
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Provider Business Mailing Address
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Address Line | 39500 LIBERTY ST
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City | FREMONT
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State | CA
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Zip | 94538-2211
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Country | US
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Telephone | 510-226-5603
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Fax | 510-933-0599
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | RPS2012065
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License Number State | CA
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