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General NPI Number Information
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NPI Number | 1437349966
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Entity Type | Individual
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Provider Name | AIMEE M ESPINOSA MD
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Gender | Female
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 10/22/2020
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Provider Practice Location Address
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Address Line | 1949 W 12 MILE RD SUITE #100
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City | BERKLEY
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State | MI
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Zip | 48072-1868
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Country | US
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Telephone | 248-551-0615
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Fax | 248-551-1245
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Provider Business Mailing Address
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Address Line | 130 TOWN CENTER DR STE 203
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City | TROY
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State | MI
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Zip | 48084-1744
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Country | US
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Telephone | 248-585-8216
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Fax | 248-585-8266
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301090328
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License Number State | MI
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