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General NPI Number Information
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NPI Number | 1679515019
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Entity Type | Organization
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Legal Business Name | GILBERT AIDINIAN, MD PA
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 1300 MURCHISON DR STE. 110
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City | EL PASO
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State | TX
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Zip | 79902-4842
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Country | US
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Telephone | 915-577-0121
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Fax | 915-577-9444
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Provider Business Mailing Address
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Address Line | 1300 MURCHISON DR STE. 110
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City | EL PASO
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State | TX
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Zip | 79902-4842
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Country | US
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Telephone | 915-577-0121
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Fax | 915-577-9444
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Authorized Official
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Title or Position | CREDENTIALING
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Name | JUDITH VALENZUELA
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Credential |
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Telephone | 915-974-5232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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