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NPI 1528869120

NPI 1528869120 : JEX M AGUILAR : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1528869120
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    Entity Type          |    Individual 
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    Provider Name        |    JEX M AGUILAR
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/20/2025
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    Last Update Date     |    03/20/2025
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Provider Practice Location Address
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    Address Line         |    102 18TH ST 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93301-4925
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    Country              |    US
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    Telephone            |    661-238-7008
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    Fax                  |    661-412-4347
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Provider Business Mailing Address
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    Address Line         |    715 DIGGES LN 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93307-7184
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    Country              |    US
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    Telephone            |    661-238-7008
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    Fax                  |    661-412-4347
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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        |    343900000X
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    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
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    License Number       |    D6609280
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    License Number State |    CA
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