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General NPI Number Information
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NPI Number | 1376861617
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Entity Type | Individual
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Provider Name | LYNDON J. AGUIAR PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/11/2010
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Last Update Date | 03/27/2018
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Provider Practice Location Address
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Address Line | 10515 CABANISS LN
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City | HANOVER
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State | VA
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Zip | 23069-1840
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Country | US
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Telephone | 804-559-9959
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Fax | 888-464-1257
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Provider Business Mailing Address
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Address Line | 5603 SANDSTONE RIDGE RD
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-6300
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Country | US
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Telephone | 804-639-5695
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810004342
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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