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General NPI Number Information
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NPI Number | 1992428148
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Entity Type | Individual
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Provider Name | SUSAN NATALIE ESPARZA RN
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Gender | Female
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Dates
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Enumeration Date | 09/22/2022
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Last Update Date | 09/22/2022
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Provider Practice Location Address
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Address Line | 311 PARADISE ISLAND DR
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City | HAINES CITY
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State | FL
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Zip | 33844-9322
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Country | US
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Telephone | 708-829-5019
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Fax |
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Provider Business Mailing Address
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Address Line | 4041 S MCCLINTOCK DR STE 302
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City | TEMPE
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State | AZ
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Zip | 85282-5879
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Country | US
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Telephone |
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 9533259
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License Number State | FL
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