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General NPI Number Information
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NPI Number | 1982646758
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Entity Type | Individual
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Provider Name | JOHN LLOYD ESPINOSA M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1415 E KINCAID ST
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City | MOUNT VERNON
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State | WA
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Zip | 98274-4126
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Country | US
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Telephone | 360-428-2211
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 37
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City | MOUNT VERNON
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State | WA
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Zip | 98273-0037
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Country | US
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Telephone | 360-424-6161
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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 | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | MD00010959
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | MD00010959
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207UN0902X
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Taxonomy Name | Nuclear Imaging & Therapy Physician
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License Number | MD00010959
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License Number State | WA
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