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General NPI Number Information
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NPI Number | 1376344119
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Entity Type | Individual
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Provider Name | NIXON ESCOBAR MHC-I
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Gender | Male
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 307 W 38TH ST FL 16
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City | NEW YORK
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State | NY
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Zip | 10018-9514
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Country | US
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Telephone | 332-249-1911
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Fax | 332-265-0277
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Provider Business Mailing Address
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Address Line | 905 43RD ST APT A5
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City | BROOKLYN
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State | NY
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Zip | 11219-1722
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Country | US
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Telephone | 646-884-1363
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | NY
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