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General NPI Number Information
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NPI Number | 1265221071
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Entity Type | Individual
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Provider Name | BIANCA ESPARZA
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Gender | Female
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 219 W CHICAGO AVE STE 200
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City | CHICAGO
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State | IL
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Zip | 60654-5600
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Country | US
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Telephone | 832-761-3176
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Fax |
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Provider Business Mailing Address
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Address Line | 1437 W CULLERTON ST # 2
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City | CHICAGO
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State | IL
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Zip | 60608-3016
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Country | US
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Telephone | 708-625-4266
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Fax | 708-625-4266
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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