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General NPI Number Information
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NPI Number | 1952930422
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Entity Type | Organization
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Legal Business Name | ESPINOZA VEIN INSTITUTE LLC
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Dates
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Enumeration Date | 04/06/2020
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 117 PARK PLACE CT
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City | LEXINGTON
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State | SC
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Zip | 29072-6690
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Country | US
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Telephone | 803-626-9075
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Fax | 803-626-1105
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Provider Business Mailing Address
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Address Line | 117 PARK PLACE CT
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City | LEXINGTON
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State | SC
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Zip | 29072-6690
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Country | US
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Telephone | 803-626-9075
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Fax | 803-626-1105
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAUL ESPINOZA
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Credential | MD
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Telephone | 803-626-9075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number |
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License Number State |
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