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NPI Code Detail

MEDICARE: KAROL AGUIRRE

MEDICARE:   KAROL  AGUIRRE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12355S0801XSpeech-Language AssistantSLPA6614AZ

General Provider Information

NPI Number : 1396060778
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAROL AGUIRRE
Provider Business Mailing Address
First Line : 9429 N 6TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85021-2425
Country : US
Telephone Number : 602-748-8176
Fax Number :
Provider Business Practice Location Address
First Line : 1000 S MAIN ST
Second Line :
City : FLORENCE
State : AZ
Zip : 85132-8132
Country : US
Telephone Number : 520-866-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2010
Last Update Date : 03/29/2010

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Directions to “ KAROL AGUIRRE ” Practice Location

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