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General NPI Number Information
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NPI Number | 1932404027
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Entity Type | Individual
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Provider Name | LIZA M AGUILAR DDS
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Gender | Female
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Dates
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Enumeration Date | 01/20/2011
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Last Update Date | 04/29/2020
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Provider Practice Location Address
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Address Line | 6370 N STATE ROAD 7 STE 115
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City | COCONUT CREEK
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State | FL
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Zip | 33073-3614
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Country | US
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Telephone | 954-866-4223
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Fax |
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Provider Business Mailing Address
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Address Line | 22324 CALIBRE CT APT 807
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City | BOCA RATON
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State | FL
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Zip | 33433-5568
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Country | US
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Telephone | 787-909-0379
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 19224
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License Number State | FL
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