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General NPI Number Information
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NPI Number | 1851624241
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Entity Type | Individual
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Provider Name | JULIE RENAE AGUINIGA LCSW, PPS
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Gender | Female
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Dates
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Enumeration Date | 09/16/2009
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Last Update Date | 11/01/2019
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Provider Practice Location Address
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Address Line | 890 MAIN ST
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City | NEWMAN
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State | CA
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Zip | 95360-1119
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Country | US
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Telephone | 209-862-3670
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Fax | 209-862-3426
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Provider Business Mailing Address
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Address Line | 890 MAIN ST
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City | NEWMAN
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State | CA
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Zip | 95360-1119
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Country | US
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Telephone | 209-862-3670
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Fax | 209-862-3426
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 75122
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 31602
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License Number State | CA
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