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General NPI Number Information
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NPI Number | 1144286014
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Entity Type | Individual
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Provider Name | VIVIAN DEL CARMEN AGUILAR MD
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Gender | Female
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Dates
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Enumeration Date | 04/21/2006
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 911 W 38TH ST SUITE 202
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City | AUSTIN
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State | TX
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Zip | 78705-1188
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Country | US
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Telephone | 512-324-8670
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Fax | 512-380-7531
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Provider Business Mailing Address
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Address Line | 2501 N ORANGE AVE STE 240
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City | ORLANDO
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State | FL
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Zip | 32804-4641
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Country | US
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Telephone | 407-303-1380
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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 | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | P8008
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | MA07593
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | ME98857
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License Number State | FL
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