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General NPI Number Information
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NPI Number | 1720430374
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Entity Type | Individual
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Provider Name | DIEGO HIDALGO ESPINEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2016
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Last Update Date | 08/31/2020
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Provider Practice Location Address
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Address Line | 1500 NW 12TH AVE
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City | MIAMI
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State | FL
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Zip | 33136-1051
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Country | US
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Telephone | 305-585-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 1256 MILITARY ST S
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City | HAMILTON
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State | AL
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Zip | 35570-5003
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Country | US
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Telephone |
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 40410
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License Number State | AL
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