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General NPI Number Information
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NPI Number | 1497925507
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Entity Type | Individual
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Provider Name | ENRICO ESPANOL TOBIAS CRNA FNP
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Gender | Male
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 11/11/2013
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Provider Practice Location Address
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Address Line | 395 STOCKHOLM ST APT 2
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City | BROOKLYN
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State | NY
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Zip | 11237-4007
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Country | US
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Telephone | 832-763-2906
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Fax |
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Provider Business Mailing Address
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Address Line | 395 STOCKHOLM ST APT 2
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City | BROOKLYN
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State | NY
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Zip | 11237-4007
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Country | US
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Telephone | 832-763-2906
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 079661
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN093092
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License Number State | TX
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