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General NPI Number Information
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NPI Number | 1952864654
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Entity Type | Individual
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Provider Name | LAURA AGUILAR-FERNANDEZ DDS, MS
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Gender | Female
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Dates
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Enumeration Date | 04/09/2019
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 172 E GRANT AVE
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City | WINTERS
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State | CA
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Zip | 95694-1780
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Country | US
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Telephone | 530-795-4377
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5096
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City | NAPA
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State | CA
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Zip | 94581-0096
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Country | US
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Telephone | 707-337-9389
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 105364
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License Number State | CA
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