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General NPI Number Information
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NPI Number | 1093620056
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Entity Type | Individual
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Provider Name | ALEXANDER RUIZ AGUILAR RN
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Gender | Male
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Dates
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Enumeration Date | 08/15/2026
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Last Update Date | 08/15/2026
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Provider Practice Location Address
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Address Line | 3490 FORAGE RD
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City | SAN ANTONIO
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State | TX
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Zip | 78234-7748
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Country | US
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Telephone | 520-716-7057
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Fax |
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Provider Business Mailing Address
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Address Line | 744 W RIDGE DR
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City | OMAK
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State | WA
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Zip | 98841-9520
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Country | US
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Telephone | 509-429-1060
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN61081174
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License Number State | WA
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