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General NPI Number Information
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NPI Number | 1780355461
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Entity Type | Individual
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Provider Name | LUIS ARTURO AGUILERA GARCIA PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/23/2021
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Last Update Date | 09/23/2021
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Provider Practice Location Address
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Address Line | 8900 TEHAMA RIDGE PKWY
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City | FORT WORTH
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State | TX
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Zip | 76177-2004
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Country | US
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Telephone | 817-806-9843
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Fax | 817-806-9834
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Provider Business Mailing Address
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Address Line | 14333 PRESTON RD APT 1004
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City | DALLAS
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State | TX
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Zip | 75254-6500
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Country | US
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Telephone | 469-995-0373
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 69418
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License Number State | TX
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