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General NPI Number Information
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NPI Number | 1164173084
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Entity Type | Individual
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Provider Name | ANDREA JAIMES AGUILAR
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Gender |
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Dates
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Enumeration Date | 01/12/2022
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 915 RHODE ISLAND AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20001-4153
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Country | US
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Telephone | 202-232-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 3522 TERRACE DR APT C
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City | SUITLAND
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State | MD
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Zip | 20746-2837
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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