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General NPI Number Information
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NPI Number | 1780641050
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Entity Type | Organization
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Legal Business Name | ENRIQUE ESPINOSA-MELENDEZ, M.D., INC.
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 09/02/2014
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Provider Practice Location Address
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Address Line | 340 E 8TH ST STE B
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City | NATIONAL CITY
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State | CA
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Zip | 91950-2312
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Country | US
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Telephone | 858-551-0276
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5257
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City | CHULA VISTA
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State | CA
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Zip | 91912-5257
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Country | US
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Telephone | 858-551-0276
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ENRIQUE ESPINOSA-MELENDEZ
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Credential | MD
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Telephone | 858-551-0276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | C42745
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License Number State | CA
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