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NPI 1497041750

NPI 1497041750 : ARAGUAS PODIATRY CORP : IMPERIAL, CA

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General NPI Number Information
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    NPI Number           |    1497041750
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARAGUAS PODIATRY CORP 
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Dates
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    Enumeration Date     |    06/24/2011
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    Last Update Date     |    04/04/2017
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Provider Practice Location Address
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    Address Line         |    2410 COMMERCE TRL 
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    City                 |    IMPERIAL
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    State                |    CA
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    Zip                  |    92251-4003
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    Country              |    US
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    Telephone            |    760-550-6259
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    Fax                  |    760-550-6189
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Provider Business Mailing Address
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    Address Line         |    2410 COMMERCE TRL 
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    City                 |    IMPERIAL
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    State                |    CA
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    Zip                  |    92251-4003
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    Country              |    US
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    Telephone            |    760-550-6259
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    Fax                  |    760-550-6189
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Authorized Official
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    Title or Position    |    PODIATRIST
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    Name                 |    DR. ROSARIO  ARAGUAS 
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    Credential           |    DPM
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    Telephone            |    760-550-6259
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    213E00000X
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    Taxonomy Name        |    Podiatrist
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    License Number       |    E4792
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    License Number State |    CA
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