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NPI 1689585853

NPI 1689585853 : RAFAEL AGUIRRE JR. PPS : FRESNO, CA

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General NPI Number Information
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    NPI Number           |    1689585853
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    Entity Type          |    Individual 
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    Provider Name        |    RAFAEL AGUIRRE JR. PPS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/15/2026
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    Last Update Date     |    09/15/2026
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Provider Practice Location Address
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    Address Line         |    102 E CLINTON AVE 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93704-5315
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    Country              |    US
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    Telephone            |    559-248-7370
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2302 RICHERT AVE 
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    City                 |    CLOVIS
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    State                |    CA
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    Zip                  |    93611-3919
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    Country              |    US
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    Telephone            |    805-714-7121
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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        |    101YS0200X
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    Taxonomy Name        |    School Counselor
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    License Number       |    230200814
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    License Number State |    CA
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