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General NPI Number Information
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NPI Number | 1649235920
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Entity Type | Individual
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Provider Name | NANCY L AGUIRRE M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 650 MCMILLEN ST
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City | FORT ATKINSON
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State | WI
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Zip | 53538-1275
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Country | US
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Telephone | 920-563-8900
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Fax | 920-563-0318
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Provider Business Mailing Address
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Address Line | 650 MCMILLEN ST
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City | FORT ATKINSON
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State | WI
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Zip | 53538-1275
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Country | US
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Telephone | 920-563-8900
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Fax | 920-563-0318
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 1319-TEP
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 49257
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License Number State | WI
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