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NPI 1417690397

NPI 1417690397 : MONICA A AGUILAR MD : OXFORD, MI

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General NPI Number Information
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    NPI Number           |    1417690397
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    Entity Type          |    Individual 
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    Provider Name        |    MONICA A AGUILAR MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/18/2022
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    Last Update Date     |    04/15/2025
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Provider Practice Location Address
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    Address Line         |    72 S WASHINGTON ST STE 204 
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    City                 |    OXFORD
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    State                |    MI
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    Zip                  |    48371-6424
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    Country              |    US
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    Telephone            |    248-628-2233
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    Fax                  |    248-628-2384
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Provider Business Mailing Address
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    Address Line         |    1101 W UNIVERSITY DR 
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    City                 |    ROCHESTER
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    State                |    MI
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    Zip                  |    48307-1863
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    Country              |    US
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    Telephone            |    248-601-4900
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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        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    4301513699
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    License Number State |    MI
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