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General NPI Number Information
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NPI Number | 1497756076
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Entity Type | Individual
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Provider Name | DARIO M ESPINA M.D., F.A.C.C.
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Gender | Male
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 205 E RAY FINE BLVD STE 6
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City | ROLAND
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State | OK
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Zip | 74954-5381
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Country | US
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Telephone | 918-503-6235
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Fax | 918-503-6239
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Provider Business Mailing Address
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Address Line | PO BOX 11768
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City | FORT SMITH
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State | AR
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Zip | 72917-1768
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Country | US
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Telephone | 479-484-1010
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Fax | 479-785-9916
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 14997
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | E1954
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License Number State | AR
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