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General NPI Number Information
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NPI Number | 1699583096
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Entity Type | Individual
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Provider Name | ADRIANA ESPARZA
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Gender | Female
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 3455 INGRAHAM ST
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City | SAN DIEGO
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State | CA
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Zip | 92109-6713
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Country | US
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Telephone | 619-937-2055
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Fax |
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Provider Business Mailing Address
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Address Line | 2157 DOVETAIL CT UNIT 235
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City | CHULA VISTA
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State | CA
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Zip | 91915-2943
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Country | US
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Telephone | 732-589-8274
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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 | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 150468
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License Number State | CA
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