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General NPI Number Information
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NPI Number | 1861292740
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Entity Type | Individual
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Provider Name | MICHELLE ESPINOSA NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 75 ORANGE AVE
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City | WALDEN
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State | NY
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Zip | 12586-1816
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Country | US
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Telephone | 844-400-1975
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Fax |
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Provider Business Mailing Address
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Address Line | 48 BIRDSALL AVE
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City | MARLBORO
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State | NY
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Zip | 12542-6103
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Country | US
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Telephone | 845-514-3555
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Fax | 845-514-3555
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 355842
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License Number State | NY
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