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General NPI Number Information
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NPI Number | 1356063754
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Entity Type | Individual
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Provider Name | KIMBERLY RAE ESPINOZA LMSW
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Gender | Female
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Dates
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Enumeration Date | 09/13/2022
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Last Update Date | 09/13/2022
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Provider Practice Location Address
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Address Line | 802 LYDIA ST
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City | AUSTIN
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State | TX
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Zip | 78702-2623
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Country | US
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Telephone | 512-829-8738
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Fax |
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Provider Business Mailing Address
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Address Line | 5427 STILLBROOKE DR
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City | HOUSTON
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State | TX
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Zip | 77096-5033
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Country | US
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Telephone | 713-291-4668
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 68411
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License Number State | TX
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