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General NPI Number Information
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NPI Number | 1659036069
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Entity Type | Individual
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Provider Name | VINCENT DANIEL ESPINOZA LCSW
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Gender | Male
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Dates
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Enumeration Date | 11/02/2021
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 5203 JUAN TABO BLVD NE STE 2B
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-2691
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Country | US
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Telephone | 575-208-8596
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Fax |
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Provider Business Mailing Address
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Address Line | 5203 JUAN TABO BLVD NE STE 2B
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-2691
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Country | US
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Telephone | 505-500-4125
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09931245
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 156.0134387TELE
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 14227928-3501
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License Number State | UT
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW-2024-0368
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License Number State | NM
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | TPSW5004
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904017557
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License Number State | VA
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Taxonomy #7
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC24022
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License Number State | ME
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Taxonomy #8
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | L15521
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License Number State | OR
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