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General NPI Number Information
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NPI Number | 1467312306
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Entity Type | Individual
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Provider Name | DANIELA ESPANA DDS
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Gender | Female
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 1139 E KETTLEMAN LN
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City | LODI
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State | CA
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Zip | 95240-6423
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Country | US
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Telephone | 209-642-8990
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Fax |
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Provider Business Mailing Address
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Address Line | 605 VIA PORLEZZA
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City | CHULA VISTA
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State | CA
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Zip | 91914-5303
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Country | US
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Telephone | 619-799-9823
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 112505
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License Number State | CA
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