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General NPI Number Information
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NPI Number | 1831794619
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Entity Type | Individual
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Provider Name | SOPHIA MARIA ESPINOSA
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Gender | Female
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Dates
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Enumeration Date | 12/01/2020
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Last Update Date | 12/01/2020
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Provider Practice Location Address
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Address Line | 10575 68TH AVE
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City | SEMINOLE
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State | FL
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Zip | 33772-6035
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Country | US
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Telephone | 305-970-3423
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Fax |
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Provider Business Mailing Address
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Address Line | 27224 SNAPPER CREEK LN
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-5650
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Country | US
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Telephone | 305-970-3423
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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 | APRN11010211
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9295471
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License Number State | FL
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