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General NPI Number Information
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NPI Number | 1245716943
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Entity Type | Individual
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Provider Name | TONYA SHANTEL ESCOBAR PMHNP
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Gender | Female
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Dates
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Enumeration Date | 07/16/2018
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 15861 HIGHWAY 101 S
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City | BROOKINGS
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State | OR
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Zip | 97415-8515
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Country | US
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Telephone | 541-254-1485
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Fax |
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Provider Business Mailing Address
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Address Line | 2960 CAMINO DIABLO SUITE 105
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City | WALNUT CREEK
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State | CA
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Zip | 94597
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Country | US
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Telephone | 800-892-2695
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Fax | 415-458-2691
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 840336
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | CNP201124
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 202001856NP-PP
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61152390
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 65396
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License Number State | ID
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95014604
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 232005
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License Number State | AZ
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