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General NPI Number Information
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NPI Number | 1366457772
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Entity Type | Individual
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Provider Name | VICTORIA ELENA SORLIE-AGUILAR MD
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Gender | Female
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 12/26/2013
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Provider Practice Location Address
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Address Line | 3641 W 5TH ST
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City | OXNARD
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State | CA
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Zip | 93030-6424
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Country | US
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Telephone | 805-985-5505
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Fax | 805-984-6095
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Provider Business Mailing Address
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Address Line | 5855 OLIVAS PARK DR
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City | VENTURA
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State | CA
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Zip | 93003-7672
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Country | US
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Telephone | 805-667-2801
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Fax | 805-667-2865
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A90750
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License Number State | CA
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