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General NPI Number Information
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NPI Number | 1962900258
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Entity Type | Individual
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Provider Name | BRIAN ESPOSITO PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 02/01/2018
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Last Update Date | 02/01/2018
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Provider Practice Location Address
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Address Line | 1834 OREGON PIKE STE 4
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City | LANCASTER
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State | PA
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Zip | 17601-6463
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Country | US
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Telephone | 717-391-6808
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Fax |
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Provider Business Mailing Address
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Address Line | 44 BETHANY RD APT E
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City | EPHRATA
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State | PA
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Zip | 17522-2400
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Country | US
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Telephone | 908-878-7216
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS018310
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License Number State | PA
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