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General NPI Number Information
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NPI Number | 1114408887
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Entity Type | Individual
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Provider Name | CHRISTINE DANIELLE ESPOSITO PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/22/2018
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Last Update Date | 04/16/2019
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Provider Practice Location Address
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Address Line | 203 UNION AVE
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City | HOLBROOK
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State | NY
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Zip | 11741
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Country | US
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Telephone | 516-690-0342
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Fax | 631-585-6362
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Provider Business Mailing Address
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Address Line | 203 UNION AVE
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City | HOLBROOK
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State | NY
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Zip | 11741
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Country | US
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Telephone | 516-690-0342
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Fax | 631-585-6362
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0225051
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 022505
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License Number State | NY
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