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General NPI Number Information
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NPI Number | 1639299647
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Entity Type | Individual
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Provider Name | AURELIO TONY AGUIRRE
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Gender | Male
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Dates
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Enumeration Date | 03/31/2007
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 1530 S OLIVE ST
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City | LOS ANGELES
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State | CA
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Zip | 90015-3023
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Country | US
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Telephone | 213-747-5542
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Fax | 213-746-9379
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Provider Business Mailing Address
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Address Line | 1936 E ANAHEIM ST
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City | LONG BEACH
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State | CA
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Zip | 90813-3908
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Country | US
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Telephone | 562-599-2248
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | PA15565
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | PA15565
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA15565
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License Number State | CA
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