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General NPI Number Information
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NPI Number | 1669860797
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Entity Type | Organization
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Legal Business Name | AGUILAR & ASSOCIATES INC
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Dates
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Enumeration Date | 12/23/2014
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Last Update Date | 12/23/2014
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Provider Practice Location Address
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Address Line | 1933 SOMERSBY LN
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-7834
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Country | US
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Telephone | 757-427-5974
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Fax | 757-689-3525
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Provider Business Mailing Address
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Address Line | 1933 SOMERSBY LN
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-7834
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Country | US
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Telephone | 757-427-5974
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Fax | 757-689-3525
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARLA L AGUILAR
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Credential | LCSW
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Telephone | 757-427-5974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 0904004704
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License Number State | VA
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