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General NPI Number Information
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NPI Number | 1003874553
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Entity Type | Organization
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Legal Business Name | JORGE A AGUILAR MD PA
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 12/15/2009
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Provider Practice Location Address
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Address Line | 905 BEACH BLVD
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250
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Country | US
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Telephone | 904-241-8300
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Fax | 904-241-0831
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Provider Business Mailing Address
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Address Line | 905 BEACH BLVD
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250
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Country | US
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Telephone | 904-241-8300
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Fax | 904-241-0831
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Authorized Official
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Title or Position | MD PRESIDENT
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Name | JORGE A AGUILAR
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Credential | MD
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Telephone | 904-241-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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