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NPI 1255466405

NPI 1255466405 : LORI ESPOSITO B.A., NBC-HIS, HAD : ORANGE, CA

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General NPI Number Information
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    NPI Number           |    1255466405
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    Entity Type          |    Individual 
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    Provider Name        |    LORI ESPOSITO B.A., NBC-HIS, HAD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/21/2007
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    Last Update Date     |    12/27/2024
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Provider Practice Location Address
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    Address Line         |    382 S TUSTIN ST 
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    City                 |    ORANGE
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    State                |    CA
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    Zip                  |    92866-2502
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    Country              |    US
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    Telephone            |    714-633-5077
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    Fax                  |    714-460-6733
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Provider Business Mailing Address
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    Address Line         |    4702 ROXBURY DR 
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    City                 |    IRVINE
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    State                |    CA
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    Zip                  |    92604-2323
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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        |    237700000X
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    Taxonomy Name        |    Hearing Instrument Specialist
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    License Number       |    HA3956
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    237600000X
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    Taxonomy Name        |    Audiologist-Hearing Aid Fitter
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    License Number       |    HA3956
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    332S00000X
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    Taxonomy Name        |    Hearing Aid Equipment
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    License Number       |    HA3956
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    License Number State |    CA
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