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General NPI Number Information
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NPI Number | 1003728841
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Entity Type | Individual
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Provider Name | SUSANNAH ESTELLE AQUILINA AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 700 S OCHOA ST
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City | EL PASO
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State | TX
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Zip | 79901-2936
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Country | US
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Telephone | 915-545-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 600 E ROBINSON AVE
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City | EL PASO
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State | TX
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Zip | 79902-2623
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Country | US
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Telephone | 915-861-3099
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1064492
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License Number State | TX
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