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General NPI Number Information
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NPI Number | 1831077585
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Entity Type | Individual
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Provider Name | EDWIN AGUILAR
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Gender | Male
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 8790 CUYAMACA ST
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City | SANTEE
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State | CA
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Zip | 92071-4295
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Country | US
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Telephone | 619-596-5969
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Fax |
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Provider Business Mailing Address
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Address Line | 222 LOS REYES DR
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City | SAN DIEGO
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State | CA
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Zip | 92114-4512
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Country | US
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Telephone | 619-767-8057
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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 | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 52646
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License Number State | CA
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