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General NPI Number Information
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NPI Number | 1720587728
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Entity Type | Individual
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Provider Name | ELIZABETH AGUILERA NP
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Gender | Female
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Dates
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Enumeration Date | 02/05/2018
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 500 W THOMAS RD STE 600
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City | PHOENIX
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State | AZ
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Zip | 85013-4221
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Country | US
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Telephone | 602-406-1140
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Fax | 602-406-1149
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Provider Business Mailing Address
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Address Line | PO BOX 33269
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City | PHOENIX
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State | AZ
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Zip | 85067-3269
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Country | US
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Telephone | 602-406-4786
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Fax | 916-636-4358
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP10680
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP10680
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License Number State | AZ
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