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General NPI Number Information
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NPI Number | 1699883488
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Entity Type | Individual
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Provider Name | PATRICK A AGUILERA M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 06/02/2008
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Provider Practice Location Address
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Address Line | 2701 S BRISTOL ST
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City | SANTA ANA
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State | CA
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Zip | 92704-6201
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Country | US
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Telephone | 714-754-5549
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Fax |
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Provider Business Mailing Address
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Address Line | 27886 HORSESHOE BND
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-1523
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Country | US
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Telephone | 949-496-2230
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | G080537
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License Number State | CA
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