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General NPI Number Information
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NPI Number | 1124619515
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Entity Type | Individual
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Provider Name | NICOLE ASHLEY ESPINOZA CPHT
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Gender | Female
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Dates
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Enumeration Date | 01/29/2021
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Last Update Date | 01/29/2021
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Provider Practice Location Address
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Address Line | 3133 S ALAMEDA HEB PHARMACY
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City | CORPUS CHRISTI
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State | TX
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Zip | 78404
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Country | US
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Telephone | 361-852-1696
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Fax |
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Provider Business Mailing Address
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Address Line | 614 COLLINGSWOOD DR
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City | CORPUS CHRISTI
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State | TX
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Zip | 78412-2908
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Country | US
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Telephone | 361-739-1090
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 169559
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License Number State | TX
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