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General NPI Number Information
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NPI Number | 1366162729
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Entity Type | Organization
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Legal Business Name | SANDY D ESPINOSA MD PA
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 09/01/2023
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Provider Practice Location Address
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Address Line | 900 SW 97TH AVE
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City | MIAMI
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State | FL
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Zip | 33174-2935
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Country | US
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Telephone | 305-676-7762
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 557916
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City | MIAMI
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State | FL
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Zip | 33255-7916
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Country | US
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Telephone | 305-676-7762
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SANDY ESPINOSA HERNANDEZ
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Credential | MD
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Telephone | 305-479-7038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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