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General NPI Number Information
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NPI Number | 1417601105
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Entity Type | Individual
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Provider Name | FRANCINE MARIE ESPINOZA D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 02/10/2022
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Last Update Date | 02/26/2022
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Provider Practice Location Address
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Address Line | 16147 FOOTHILL BLVD STE A
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City | FONTANA
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State | CA
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Zip | 92335-3374
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Country | US
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Telephone | 909-251-4721
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Fax |
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Provider Business Mailing Address
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Address Line | 7691 HAVEN AVE APT D
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-1760
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Country | US
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Telephone | 840-999-2113
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 107296
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License Number State | CA
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