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General NPI Number Information
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NPI Number | 1821929159
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Entity Type | Organization
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Legal Business Name | AQUARIUS SURGICAL CONSULTING SERVICES, INC
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Dates
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Enumeration Date | 05/26/2026
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Last Update Date | 05/26/2026
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Provider Practice Location Address
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Address Line | 1503 N IMPERIAL AVE STE 105
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City | EL CENTRO
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State | CA
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Zip | 92243-6302
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Country | US
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Telephone | 760-693-5372
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Fax | 760-693-5375
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Provider Business Mailing Address
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Address Line | PO BOX 2280
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City | EL CENTRO
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State | CA
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Zip | 92244-2280
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Country | US
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Telephone | 760-460-6425
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Fax | 760-332-4800
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Authorized Official
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Title or Position | COO
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Name | JULIE FLORES
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Credential |
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Telephone | 760-460-6425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number |
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License Number State |
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