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General NPI Number Information
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NPI Number | 1336287598
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Entity Type | Individual
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Provider Name | KIMBERLY AGUINAGA L.B.S.W.
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Gender | Female
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 10/09/2018
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Provider Practice Location Address
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Address Line | 43740 N GROESBECK HWY
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48036-1139
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Country | US
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Telephone | 586-469-7629
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Fax |
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Provider Business Mailing Address
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Address Line | 43740 N GROESBECK HWY
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48036-1139
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Country | US
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Telephone | 586-469-7629
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6801063890
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License Number State | MI
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