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General NPI Number Information
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NPI Number | 1952116469
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Entity Type | Individual
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Provider Name | SHANTAL ESPINOZA
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Gender | Female
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 400 W ARBROOK BLVD STE 101
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City | ARLINGTON
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State | TX
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Zip | 76014-3175
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Country | US
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Telephone | 817-801-1456
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Fax | 817-801-0594
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Provider Business Mailing Address
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Address Line | 1218 TEAKWOOD DR
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City | DUNCANVILLE
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State | TX
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Zip | 75137-3617
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Country | US
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Telephone | 469-826-8104
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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 | 1190556
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 1190556
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License Number State | TX
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