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General NPI Number Information
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NPI Number | 1124027743
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Entity Type | Individual
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Provider Name | JUDE V ESPINOZA MD
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Gender | Male
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Dates
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Enumeration Date | 07/15/2005
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Last Update Date | 01/28/2022
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Provider Practice Location Address
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Address Line | 94 BRIGGS ST SUITE 600
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City | SAN ANTONIO
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State | TX
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Zip | 78224-1221
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Country | US
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Telephone | 210-923-7736
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Fax | 210-923-7100
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Provider Business Mailing Address
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Address Line | 1100 MCCULLOUGH AVE SUITE 300
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City | SAN ANTONIO
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State | TX
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Zip | 78212-4813
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Country | US
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Telephone | 210-271-3204
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Fax | 210-222-2761
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | J4102
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License Number State | TX
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