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General NPI Number Information
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NPI Number | 1598020026
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Entity Type | Individual
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Provider Name | MRS. CATHY MARIE ESPY-COOK
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Gender | Female
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Dates
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Enumeration Date | 07/11/2012
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Last Update Date | 08/07/2019
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Provider Practice Location Address
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Address Line | 10799 POPLAR ST # 147
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City | LOMA LINDA
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State | CA
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Zip | 92354-2254
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Country | US
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Telephone | 909-799-8599
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Fax |
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Provider Business Mailing Address
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Address Line | 10799 POPLAR ST 147
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City | LOMA LINDA
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State | CA
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Zip | 92354-2254
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Country | US
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Telephone | 909-799-8599
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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