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General NPI Number Information
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NPI Number | 1861697948
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Entity Type | Individual
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Provider Name | PATRICIO SEBASTIAN ESPINOSA MD,MPH.
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Gender | Male
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 2900 N MILITARY TRL SUITE 110
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City | BOCA RATON
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State | FL
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Zip | 33431-6365
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Country | US
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Telephone | 617-640-3484
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Fax |
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Provider Business Mailing Address
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Address Line | 9960 NW 116TH WAY STE 13
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City | MEDLEY
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State | FL
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Zip | 33178-1175
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Country | US
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Telephone | 617-640-3484
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Fax | 786-924-1313
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME115003
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | 40010
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | 203269
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | ME115003
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License Number State | FL
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