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General NPI Number Information
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NPI Number | 1871500819
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Entity Type | Individual
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Provider Name | JOSEPH AGUIRRE MD
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Gender | Male
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 04/01/2011
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Provider Practice Location Address
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Address Line | 2222 LOMAS NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-2745
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Country | US
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Telephone | 505-272-2345
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Fax |
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Provider Business Mailing Address
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Address Line | 933 BRADBURY SE SUITE 2222
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-4301
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Country | US
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Telephone | 505-272-2345
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 83-148
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License Number State | NM
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