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General NPI Number Information
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NPI Number | 1295978476
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Entity Type | Individual
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Provider Name | LILIA ESPIRITU NP
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Gender | Female
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Dates
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Enumeration Date | 04/17/2009
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Last Update Date | 04/17/2009
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Provider Practice Location Address
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Address Line | 500 ORANGE ST
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City | NEWARK
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State | NJ
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Zip | 07107-2944
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Country | US
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Telephone | 973-485-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 161 CONANT ST
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City | HILLSIDE
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State | NJ
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Zip | 07205-2854
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Country | US
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Telephone | 908-289-8470
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ00020900
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License Number State | NJ
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