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General NPI Number Information
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NPI Number | 1336022052
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Entity Type | Individual
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Provider Name | BRUCE XAVIER AGUILAR
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Gender | Male
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 1901 DESIRE AVE
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City | ROWLAND HEIGHTS
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State | CA
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Zip | 91748-3846
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Country | US
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Telephone | 626-964-2358
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Fax |
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Provider Business Mailing Address
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Address Line | 297 N STATE COLLEGE BLVD APT 4085
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City | ORANGE
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State | CA
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Zip | 92868-1794
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 240156396
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License Number State | CA
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