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General NPI Number Information
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NPI Number | 1003302290
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Entity Type | Individual
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Provider Name | MARTIN FRANCISCO AGUERO MD
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Gender | Male
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Dates
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Enumeration Date | 07/10/2018
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Last Update Date | 10/15/2020
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Provider Practice Location Address
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Address Line | 18700 VETERANS BLVD UNIT 9
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City | PORT CHARLOTTE
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State | FL
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Zip | 33954-1037
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Country | US
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Telephone | 941-263-1776
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Fax |
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Provider Business Mailing Address
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Address Line | 24013 MADACA LN UNIT 104
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City | PORT CHARLOTTE
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State | FL
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Zip | 33954-2807
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Country | US
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Telephone | 939-242-5987
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Fax | 863-884-1247
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 21056
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ACN1219
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License Number State | FL
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