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NPI 1457244428

NPI 1457244428 : LORI ESPINOZA : INDIO, CA

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General NPI Number Information
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    NPI Number           |    1457244428
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    Entity Type          |    Individual 
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    Provider Name        |    LORI ESPINOZA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/30/2025
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    Last Update Date     |    06/10/2025
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Provider Practice Location Address
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    Address Line         |    82675 US HIGHWAY 111 
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    City                 |    INDIO
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    State                |    CA
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    Zip                  |    92201-5635
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    Country              |    US
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    Telephone            |    760-393-3317
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7711 CHEROKEE TRL 
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    City                 |    YUCCA VALLEY
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    State                |    CA
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    Zip                  |    92284-3301
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    Country              |    US
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    Telephone            |    760-625-9191
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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       |    
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    License Number State |    
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