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General NPI Number Information
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NPI Number | 1417813841
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Entity Type | Organization
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Legal Business Name | CLINICA HISPANA LAS CAROLINAS PLLC
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 2627 OLD N SHARON AMITY RD
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City | CHARLOTTE
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State | NC
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Zip | 28205-7193
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Country | US
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Telephone | 704-388-0320
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Fax |
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Provider Business Mailing Address
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Address Line | 3431 NEW HAMPSHIRE DR
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City | CHARLOTTE
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State | NC
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Zip | 28227-1918
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Country | US
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Telephone | 704-388-0320
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Fax | 704-388-0320
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Authorized Official
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Title or Position | FNP-C, OWNER
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Name | MARITZA ESCOBAR
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Credential | NP
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Telephone | 704-388-0320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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