Basic Information
Provider Information
NPI: 1184073561
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ESQUIBEL
FirstName: ARANZA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
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OtherOrganizationType:  
OtherLastName:  
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Mailing Information
Address1: 1001 EAST SUNSET RD
Address2: UNIT 96595
City: LAS VEGAS
State: NV
PostalCode: 891931246
CountryCode: US
TelephoneNumber: 7027980113
FaxNumber: 8662915242
Practice Location
Address1: 351 ENGLEWOOD PKWY
Address2: UNIT K
City: ENGLEWOOD
State: CO
PostalCode: 801102303
CountryCode: US
TelephoneNumber: 3037880544
FaxNumber: 3037889718
Other Information
ProviderEnumerationDate: 06/07/2016
LastUpdateDate: 06/07/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
237700000X0000307COY Speech, Language and Hearing Service ProvidersHearing Instrument Specialist 

No ID Information.


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