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General NPI Number Information
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NPI Number | 1528880218
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Entity Type | Organization
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Legal Business Name | KRISTEN AGUIRRE, MD INC
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Dates
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Enumeration Date | 10/24/2024
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 25200 LA PAZ RD STE 210
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-5137
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Country | US
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Telephone | 949-306-5853
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Fax | 954-516-0928
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Provider Business Mailing Address
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Address Line | 1208 VISTA CAYENTA
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City | SAN CLEMENTE
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State | CA
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Zip | 92672-2356
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Country | US
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Telephone | 949-306-5853
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Fax | 954-516-0928
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Authorized Official
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Title or Position | OWNER
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Name | DR. KRISTEN AGUIRRE
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Credential | MD
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Telephone | 949-306-5853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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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 | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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Taxonomy #3
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Taxonomy Code | 207NP0225X
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Taxonomy Name | Pediatric Dermatology Physician
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License Number |
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Taxonomy #4
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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Taxonomy #5
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Taxonomy Code | 2082S0099X
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Taxonomy Name | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
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License Number |
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Taxonomy #6
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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Taxonomy #7
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number |
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