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General NPI Number Information
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NPI Number | 1427536416
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Entity Type | Individual
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Provider Name | MICHAEL ANTHONY ESPOSITO PA-C
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Gender | Male
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Dates
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Enumeration Date | 08/01/2018
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 175 S UNION BLVD STE 125
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City | COLORADO SPRINGS
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State | CO
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Zip | 80910-3117
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Country | US
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Telephone | 719-365-1950
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Fax | 719-365-1951
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Provider Business Mailing Address
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Address Line | 121 STRATTFORD RD
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-3535
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Country | US
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Telephone | 516-780-3702
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 022414
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.0006122
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License Number State | CO
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