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General NPI Number Information
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NPI Number | 1174374938
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Entity Type | Individual
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Provider Name | EDUARDO ESQUIVEL TAPIA
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Gender | Male
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Dates
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Enumeration Date | 03/29/2024
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Last Update Date | 04/16/2024
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Provider Practice Location Address
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Address Line | 83053 AVENUE 48
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City | COACHELLA
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State | CA
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Zip | 92236-9551
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Country | US
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Telephone | 760-262-8050
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Fax |
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Provider Business Mailing Address
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Address Line | 51416 CALLE ILOILO
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City | LA QUINTA
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State | CA
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Zip | 92253-2913
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 89293
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License Number State | CA
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