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General NPI Number Information
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NPI Number | 1699237289
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Entity Type | Individual
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Provider Name | LUIS ESPINOSA MD
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Gender | Male
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Dates
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Enumeration Date | 04/02/2019
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 5755 COTTLE RD BLDG 23
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City | SAN JOSE
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State | CA
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Zip | 95123-3640
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Country | US
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Telephone | 408-972-3233
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 24449
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City | NEW YORK
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State | NY
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Zip | 10087-0589
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Country | US
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Telephone | 833-351-8255
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 323943
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25669
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | DR.0071504
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License Number State | CO
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