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General NPI Number Information
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NPI Number | 1164590238
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Entity Type | Individual
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Provider Name | JORGE A. AGUINAGA M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 1300 DOUGLAS CIR
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City | KEY WEST
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State | FL
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Zip | 33040-4536
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Country | US
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Telephone | 786-492-0876
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Fax | 305-745-9875
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Provider Business Mailing Address
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Address Line | 471 US HIGHWAY 1 SUITE 104
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City | KEY WEST
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State | FL
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Zip | 33040-5661
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Country | US
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Telephone | 305-923-9030
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Fax | 305-745-9875
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | FL ME77050
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License Number State | FL
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