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General NPI Number Information
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NPI Number | 1982242244
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Entity Type | Individual
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Provider Name | AARON JIMENEZ DUQUE RN
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Gender | Male
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Dates
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Enumeration Date | 12/18/2019
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Last Update Date | 12/18/2019
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Provider Practice Location Address
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Address Line | 2391 BOSWELL RD
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City | CHULA VISTA
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State | CA
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Zip | 91914-3509
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Country | US
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Telephone | 619-397-0939
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Fax | 619-421-4907
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Provider Business Mailing Address
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Address Line | 911 VIA VERDE
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City | CHULA VISTA
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State | CA
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Zip | 91910-7025
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Country | US
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Telephone | 619-502-1456
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 95070652
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WR0400X
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Taxonomy Name | Rehabilitation Registered Nurse
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License Number | 95070652
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163WD1100X
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Taxonomy Name | Peritoneal Dialysis Registered Nurse
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License Number | 95070652
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License Number State | CA
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