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General NPI Number Information
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NPI Number | 1932177367
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Entity Type | Individual
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Provider Name | GEORGINA AGUIRRE M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 396 ZONA IND REPARADA 2
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City | PONCE
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State | PR
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Zip | 00716-2347
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Country | US
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Telephone | 787-840-0052
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Fax | 787-848-1306
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Provider Business Mailing Address
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Address Line | 20 CALLE RUIZ BELVIS
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City | SANTA ISABEL
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State | PR
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Zip | 00757-2670
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Country | US
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Telephone | 787-825-6377
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Fax | 787-848-1306
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 9099
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License Number State | PR
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