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General NPI Number Information
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NPI Number | 1851103626
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Entity Type | Individual
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Provider Name | REGINALD JOY B. ESPINOSA PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 824 S HURON ST
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City | CHEBOYGAN
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State | MI
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Zip | 49721-2210
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Country | US
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Telephone | 231-627-4347
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Fax |
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Provider Business Mailing Address
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Address Line | 720 KENNEDY ROAD APT.1004
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City | SCARBOROUGH
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State | ON
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Zip | M1K 2B7
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Country | CA
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501019162
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License Number State | MI
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