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General NPI Number Information
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NPI Number | 1245331123
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Entity Type | Individual
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Provider Name | EDWIN ANTHONY ESQUIBEL C-FNP
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Gender | Male
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 4110 BRIARGATE PKWY STE 445
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-7839
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Country | US
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Telephone | 719-364-8840
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Fax | 719-364-3597
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Provider Business Mailing Address
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Address Line | 2695 ROCKY MOUNTAIN AVE STE 150
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City | LOVELAND
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State | CO
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Zip | 80538-9071
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Country | US
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Telephone | 970-624-4034
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Fax | 970-490-4347
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R23821
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0993107-NP
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License Number State | CO
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