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General NPI Number Information
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NPI Number | 1144674649
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Entity Type | Organization
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Legal Business Name | FRANCISCO J ESPARZA DDS LLC
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Dates
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Enumeration Date | 04/20/2016
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Last Update Date | 04/20/2016
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Provider Practice Location Address
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Address Line | 161 NEW ST
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-1955
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Country | US
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Telephone | 732-249-4796
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Fax | 732-249-4908
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Provider Business Mailing Address
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Address Line | 161 NEW ST
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-1955
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Country | US
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Telephone | 732-249-4796
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Fax | 732-249-4908
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Authorized Official
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Title or Position | OWNER
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Name | DR. FRANCISCO J ESPARZA
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Credential | DDS
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Telephone | 732-249-4796
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 22DI01807900
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License Number State | NJ
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