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General NPI Number Information
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NPI Number | 1346998838
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Entity Type | Individual
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Provider Name | DORIS ESPEJO NP
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Gender | Female
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Dates
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Enumeration Date | 03/14/2022
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 2333 LAKE AVE FL 2
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City | ALTADENA
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State | CA
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Zip | 91001-2463
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Country | US
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Telephone | 626-794-5737
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Fax |
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Provider Business Mailing Address
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Address Line | 60 E LAUREL AVE APT B
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City | SIERRA MADRE
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State | CA
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Zip | 91024-2913
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95108112
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 95037511
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License Number State | CA
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