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General NPI Number Information
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NPI Number | 1467647669
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Entity Type | Individual
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Provider Name | LILIANA ESPINOZA PA
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Gender | Female
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Dates
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Enumeration Date | 09/11/2007
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Last Update Date | 11/11/2019
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Provider Practice Location Address
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Address Line | 951 YORK DR STE 102
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City | DESOTO
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State | TX
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Zip | 75115-2052
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Country | US
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Telephone | 972-296-5557
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Fax | 972-296-5592
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Provider Business Mailing Address
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Address Line | 951 YORK DR STE 102
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City | DESOTO
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State | TX
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Zip | 75115-2052
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Country | US
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Telephone | 972-296-5557
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Fax | 972-296-5592
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA05360
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License Number State | TX
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