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General NPI Number Information
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NPI Number | 1225316169
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Entity Type | Organization
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Legal Business Name | JOSE ESPINOZA
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Dates
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Enumeration Date | 07/26/2011
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Last Update Date | 08/15/2011
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Provider Practice Location Address
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Address Line | 5720 NEWT PATTERSON RD
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City | MANSFIELD
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State | TX
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Zip | 76063-6151
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Country | US
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Telephone | 214-257-4994
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Fax | 817-453-8870
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Provider Business Mailing Address
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Address Line | 5720 NEWT PATTERSON RD
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City | MANSFIELD
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State | TX
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Zip | 76063-6151
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Country | US
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Telephone | 214-257-4994
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Fax | 817-453-8870
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOSE A ESPINOZA
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Credential |
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Telephone | 214-257-4994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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