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General NPI Number Information
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NPI Number | 1629036074
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Entity Type | Individual
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Provider Name | DAVID M AGUILAR CFNP
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Gender | Male
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 03/17/2010
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Provider Practice Location Address
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Address Line | 702 N 13TH ST
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City | ARTESIA
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State | NM
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Zip | 88210-1166
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Country | US
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Telephone | 505-748-8356
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Fax | 505-748-8305
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Provider Business Mailing Address
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Address Line | 49 HALEY CIR
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City | ROSWELL
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State | NM
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Zip | 88201-0301
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Country | US
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Telephone | 505-317-5472
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Fax | 505-627-3838
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R45422
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License Number State | NM
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