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General NPI Number Information
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NPI Number | 1275721334
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Entity Type | Individual
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Provider Name | HILDA ESCOBEDO PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/12/2007
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Last Update Date | 09/22/2023
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Provider Practice Location Address
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Address Line | 242 GREEN ST
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City | GARDNER
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State | MA
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Zip | 01440-1336
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Country | US
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Telephone | 978-479-1746
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Fax |
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Provider Business Mailing Address
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Address Line | 355 WAVERLEY OAKS RD STE 100
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City | WALTHAM
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State | MA
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Zip | 02452-8480
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Country | US
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Telephone | 781-314-7600
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Fax | 781-314-7666
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 2393
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA2393
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License Number State | MA
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