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General NPI Number Information
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NPI Number | 1518277904
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Entity Type | Organization
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Legal Business Name | GEMELIA HOLGADO AGUILERA, M.D. INC.
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Dates
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Enumeration Date | 10/19/2010
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Last Update Date | 10/19/2010
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Provider Practice Location Address
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Address Line | 3761 BEVERLY BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90004-3528
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Country | US
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Telephone | 323-663-2100
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Fax | 323-663-2065
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Provider Business Mailing Address
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Address Line | 3761 BEVERLY BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90004-3528
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Country | US
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Telephone | 323-663-2100
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Fax | 323-663-2065
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Authorized Official
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Title or Position | MD
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Name | DR. GEMELIA HOLGADO AGUILERA
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Credential | M.D.
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Telephone | 323-663-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A46585
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License Number State | CA
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