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General NPI Number Information
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NPI Number | 1588522411
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Entity Type | Organization
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Legal Business Name | AURORA NOVA CORPORATION
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Dates
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Enumeration Date | 01/10/2026
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Last Update Date | 01/10/2026
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Provider Practice Location Address
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Address Line | 24800 CHRISANTA DR STE 210
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City | MISSION VIEJO
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State | CA
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Zip | 92691-4842
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Country | US
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Telephone | 949-212-0999
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 ARCTIC BLVD STE 201
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City | ANCHORAGE
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State | AK
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Zip | 99503-4579
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Country | US
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Telephone | 949-212-0999
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JERRY FRANCISCO BENZL
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Credential | MD
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Telephone | 949-212-0999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry 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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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