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General NPI Number Information
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NPI Number | 1538207436
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Entity Type | Organization
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Legal Business Name | JUAN B ESPINOSA MD PA
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 04/23/2013
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Provider Practice Location Address
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Address Line | 17501 BISCAYNE BLVD SUITE #340
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City | AVENTURA
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State | FL
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Zip | 33160-4802
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Country | US
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Telephone | 305-935-3344
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Fax | 305-935-3955
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Provider Business Mailing Address
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Address Line | 17501 BISCAYNE BLVD SUITE #340
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City | AVENTURA
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State | FL
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Zip | 33160-4802
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Country | US
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Telephone | 305-935-3344
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Fax | 305-935-3955
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JUAN B ESPINOSA
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Credential | M.D.
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Telephone | 305-935-3344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | AE7161805
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License Number State | FL
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