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General NPI Number Information
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NPI Number | 1124783261
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Entity Type | Individual
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Provider Name | FIDELA ESPINOZA HINOJOSA LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/03/2021
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 19849 NORTH POMELO ROAD
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City | SANTA ROSA
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State | TX
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Zip | 78593
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Country | US
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Telephone | 956-739-8709
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 475
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City | SANTA ROSA
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State | TX
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Zip | 78593-0475
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Country | US
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Telephone | 956-739-8709
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801119506
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 64978
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License Number State | TX
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