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General NPI Number Information
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NPI Number | 1205631082
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Entity Type | Organization
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Legal Business Name | AGUILAR WOUND CARE LLC
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Dates
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Enumeration Date | 02/17/2025
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 2515 CASTROVILLE RD STE 1
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City | SAN ANTONIO
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State | TX
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Zip | 78237-3361
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Country | US
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Telephone | 210-290-8350
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Fax | 210-290-8325
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Provider Business Mailing Address
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Address Line | 8534 VILLAGE DR STE F
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City | SAN ANTONIO
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State | TX
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Zip | 78217-5501
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Country | US
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Telephone | 210-290-8350
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Fax | 210-290-8325
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Authorized Official
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Title or Position | OWNER
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Name | RICARDO AGUILAR
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Credential | MD
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Telephone | 210-275-1559
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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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