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General NPI Number Information
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NPI Number | 1982905766
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Entity Type | Organization
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Legal Business Name | EDUARDO J. AGUEROS M.D. PA.
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Dates
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Enumeration Date | 11/09/2010
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Last Update Date | 11/09/2010
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Provider Practice Location Address
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Address Line | 2609 E 7TH ST
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City | AUSTIN
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State | TX
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Zip | 78702-3905
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Country | US
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Telephone | 512-474-6836
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Fax | 512-474-1904
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Provider Business Mailing Address
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Address Line | 2609 E 7TH ST
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City | AUSTIN
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State | TX
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Zip | 78702-3905
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Country | US
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Telephone | 512-474-6836
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Fax | 512-474-1904
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Authorized Official
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Title or Position | DR/PHYSICIAN
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Name | DR. HORACIO MIGUEL AGUEROS
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Credential | M.D.
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Telephone | 512-474-6836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | K6791
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License Number State | TX
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