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General NPI Number Information
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NPI Number | 1740476829
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Entity Type | Organization
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Legal Business Name | DAVID P ESPINOSA INC
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Dates
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Enumeration Date | 09/21/2007
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Last Update Date | 01/09/2020
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Provider Practice Location Address
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Address Line | 828 N IMPERIAL AVE
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City | EL CENTRO
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State | CA
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Zip | 92243-1916
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Country | US
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Telephone | 760-352-7460
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Fax | 760-352-7017
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Provider Business Mailing Address
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Address Line | 828 N IMPERIAL AVE
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City | EL CENTRO
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State | CA
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Zip | 92243-1916
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Country | US
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Telephone | 760-352-7460
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Fax | 760-352-7017
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID PAUL ESPINOSA
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Credential | O.D.
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Telephone | 760-352-7460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 6024T
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License Number State | CA
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