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General NPI Number Information
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NPI Number | 1346513876
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Entity Type | Organization
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Legal Business Name | CARLOS L. ESQUIVIA-MUNOZ, M.D.P.A.
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Dates
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Enumeration Date | 02/14/2012
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Last Update Date | 02/14/2012
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Provider Practice Location Address
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Address Line | 1895 KINGSLEY AVE SUITE 701
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City | ORANGE PARK
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State | FL
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Zip | 32073-4466
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Country | US
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Telephone | 904-272-2525
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Fax | 904-272-2700
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Provider Business Mailing Address
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Address Line | 1895 KINGSLEY AVE SUITE 701
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City | ORANGE PARK
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State | FL
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Zip | 32073-4466
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Country | US
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Telephone | 904-272-2525
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Fax | 904-272-2700
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Authorized Official
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Title or Position | OWNER
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Name | DR. CARLOS L. ESQUIVIA-MUNOZ
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Credential | M.D.
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Telephone | 904-272-2525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME0021696
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License Number State | FL
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