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General NPI Number Information
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NPI Number | 1295258903
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Entity Type | Individual
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Provider Name | CATHERINE ESPINO
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Gender | Female
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Dates
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Enumeration Date | 07/25/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 11 CHAMBERS BLVD
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City | SWANSEA
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State | IL
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Zip | 62226
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Country | US
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Telephone | 217-620-4327
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Fax |
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Provider Business Mailing Address
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Address Line | 11 CHAMBERS BLVD
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City | SWANSEA
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State | IL
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Zip | 62226-2495
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Country | US
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Telephone | 217-620-4327
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051297408
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2017015541
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License Number State | MO
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