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General NPI Number Information
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NPI Number | 1699298190
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Entity Type | Individual
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Provider Name | RUTH NOHEMI AGUILAR-WONG PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/18/2017
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 22 W 35TH ST STE 101
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City | NATIONAL CITY
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State | CA
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Zip | 91950-7926
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Country | US
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Telephone | 619-427-3361
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Fax |
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Provider Business Mailing Address
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Address Line | 1245 NEPTUNE DR
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City | CHULA VISTA
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State | CA
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Zip | 91911-3718
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Country | US
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Telephone | 619-456-1884
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 54661
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License Number State | CA
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