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General NPI Number Information
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NPI Number | 1548870140
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Entity Type | Individual
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Provider Name | CARIDAD AGUILA-VIVAR RDN
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Gender | Female
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Dates
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Enumeration Date | 08/07/2020
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Last Update Date | 03/29/2024
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Provider Practice Location Address
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Address Line | 21105 OAKRIVER LN
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City | NEWHALL
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State | CA
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Zip | 91321-4686
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Country | US
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Telephone | 323-603-6950
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Fax |
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Provider Business Mailing Address
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Address Line | 21105 OAKRIVER LN
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City | NEWHALL
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State | CA
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Zip | 91321-4686
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Country | US
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Telephone | 323-603-6950
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 925432
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 925432
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License Number State | CA
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