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General NPI Number Information
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NPI Number | 1699519876
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Entity Type | Individual
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Provider Name | DAVID MICHAEL ESQUIVIL CADTP 18706
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Gender | Male
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Dates
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Enumeration Date | 06/21/2024
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 2445 W WHITES BRIDGE AVE
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City | FRESNO
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State | CA
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Zip | 93706-1225
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Country | US
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Telephone | 559-264-5096
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Fax |
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Provider Business Mailing Address
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Address Line | 8225 E HEDGES AVE
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City | FRESNO
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State | CA
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Zip | 93737-9723
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Country | US
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Telephone | 559-320-5773
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 18706
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License Number State | CA
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