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General NPI Number Information
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NPI Number | 1710992151
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Entity Type | Organization
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Legal Business Name | RICHARD S AGUIRRE
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 5989 BIG TREE RD SUITE A
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City | LAKEVILLE
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State | NY
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Zip | 14480-9719
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Country | US
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Telephone | 585-346-4460
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Fax | 585-346-4463
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Provider Business Mailing Address
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Address Line | 5989 BIG TREE RD STE A
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City | LAKEVILLE
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State | NY
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Zip | 14480-9719
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Country | US
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Telephone | 585-346-4460
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Fax | 585-346-4463
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | STEPHANIE MILLER
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Credential |
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Telephone | 585-991-3933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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