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General NPI Number Information
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NPI Number | 1699144147
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Entity Type | Individual
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Provider Name | MRS. JUANA AGUILERA
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Gender | Female
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Dates
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Enumeration Date | 09/15/2015
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Last Update Date | 09/15/2015
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Provider Practice Location Address
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Address Line | 43845 10TH ST. WEST #2B
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City | LANCASTER
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State | CA
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Zip | 93534
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Country | US
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Telephone | 818-723-2623
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Fax |
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Provider Business Mailing Address
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Address Line | 9959 ILEX AVE
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City | PACOIMA
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State | CA
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Zip | 91331-3418
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Country | US
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Telephone | 818-723-2623
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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