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General NPI Number Information
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NPI Number | 1740815588
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Entity Type | Individual
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Provider Name | ANGEL ESPINA AGNP
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Gender | Male
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Dates
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Enumeration Date | 03/11/2020
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Last Update Date | 03/11/2020
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Provider Practice Location Address
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Address Line | 11077 BISCAYNE BLVD STE 304
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City | NORTH MIAMI
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State | FL
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Zip | 33161-7498
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Country | US
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Telephone | 786-409-7104
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Fax | 786-334-5403
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Provider Business Mailing Address
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Address Line | 3378 W 80TH ST UNIT 101
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City | HIALEAH GARDENS
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State | FL
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Zip | 33018-7545
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Country | US
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Telephone | 786-359-9131
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN11006557
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN11006557
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License Number State | FL
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