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General NPI Number Information
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NPI Number | 1457922981
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Entity Type | Individual
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Provider Name | MARY ESQUIVEL CNM
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Gender | Female
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Dates
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Enumeration Date | 07/06/2021
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Last Update Date | 07/06/2021
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Provider Practice Location Address
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Address Line | 3537 S INTERSTATE 35 E STE 214
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City | DENTON
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State | TX
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Zip | 76210-6814
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Country | US
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Telephone | 940-320-2745
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Fax | 940-565-1215
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Provider Business Mailing Address
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Address Line | 3537 S INTERSTATE 35 E STE 214
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City | DENTON
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State | TX
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Zip | 76210-6814
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Country | US
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Telephone | 940-320-2745
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 1017772
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License Number State | TX
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