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General NPI Number Information
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NPI Number | 1912722463
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Entity Type | Individual
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Provider Name | KARLA AGUIRRE
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Gender | Female
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 341 WYOMING AVE STE 8
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City | WEST PITTSTON
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State | PA
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Zip | 18643-2839
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Country | US
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Telephone | 570-406-1107
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Fax | 802-284-3210
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Provider Business Mailing Address
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Address Line | 16 MAIN RD
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City | GLEN LYON
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State | PA
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Zip | 18617-1250
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Country | US
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Telephone | 570-406-1107
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW141336
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License Number State | PA
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