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General NPI Number Information
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NPI Number | 1972799138
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Entity Type | Organization
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Legal Business Name | ANGELITO O ARAGO,M D, P A
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Dates
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Enumeration Date | 09/21/2007
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Last Update Date | 09/21/2007
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Provider Practice Location Address
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Address Line | 6040 BOULEVARD EAST L-7
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City | WEST NEW YORK
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State | NJ
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Zip | 07093-3825
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Country | US
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Telephone | 201-861-0720
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Fax |
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Provider Business Mailing Address
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Address Line | 6040 BOULEVARD EAST L-7
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City | WEST NEW YORK
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State | NJ
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Zip | 07093-3825
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Country | US
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Telephone | 201-861-0720
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ANGELITO O ARAGO
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Credential | M.D.
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Telephone | 201-861-0720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MA02404200
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License Number State | NJ
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