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NPI 1225895170

NPI 1225895170 : PAUL XAVIER ESPINOSA PT, DPT : WATSONVILLE, CA

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General NPI Number Information
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    NPI Number           |    1225895170
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    Entity Type          |    Individual 
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    Provider Name        |    PAUL XAVIER ESPINOSA PT, DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/06/2024
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    Last Update Date     |    03/06/2024
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Provider Practice Location Address
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    Address Line         |    525 AUTO CENTER DR 
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    City                 |    WATSONVILLE
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    State                |    CA
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    Zip                  |    95076-3745
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    Country              |    US
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    Telephone            |    831-724-7505
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2734 OLD FORT RD 
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    City                 |    SUGAR LAND
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    State                |    TX
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    Zip                  |    77479-1778
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    Country              |    US
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    Telephone            |    281-908-1155
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    1310395
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    License Number State |    TX
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