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General NPI Number Information
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NPI Number | 1306954854
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Entity Type | Organization
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Legal Business Name | RAFAEL ESPADA MD PA
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6560 FANNIN ST SUITE 1006
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City | HOUSTON
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State | TX
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Zip | 77030
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Country | US
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Telephone | 713-790-4556
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Fax | 713-790-4035
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Provider Business Mailing Address
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Address Line | 6560 FANNIN ST SUITE 1006
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City | HOUSTON
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State | TX
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Zip | 77030
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Country | US
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Telephone | 713-790-4556
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Fax | 713-790-4035
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | ROSE BAGLIA
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Credential |
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Telephone | 713-790-4556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | E6339
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License Number State | TX
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