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NPI 1861600181

NPI 1861600181 : MARTIN ESQUIVEL : SAN FRANCISCO, CA

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General NPI Number Information
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    NPI Number           |    1861600181
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    Entity Type          |    Individual 
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    Provider Name        |    MARTIN ESQUIVEL
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/18/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1663 MISSION ST 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94103-2400
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    Country              |    US
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    Telephone            |    415-575-4500
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1010 GOUGH ST 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94109-7622
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    Country              |    US
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    ASW 16783
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    License Number State |    CA
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