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General NPI Number Information
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NPI Number | 1447381405
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Entity Type | Individual
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Provider Name | ASHLEA ESPARZA
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2931 REDONDO AVE
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City | LONG BEACH
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State | CA
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Zip | 90806-2445
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Country | US
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Telephone | 562-490-7600
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Fax | 562-490-7601
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Provider Business Mailing Address
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Address Line | 434 GOLDENROD AVE
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City | CORONA DEL MAR
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State | CA
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Zip | 92625-2914
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Country | US
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Telephone | 949-632-4687
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | IMF42939
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License Number State | CA
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