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General NPI Number Information
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NPI Number | 1982975900
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Entity Type | Organization
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Legal Business Name | GONZALO A AGUILAR MD PA
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Dates
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Enumeration Date | 01/23/2012
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Last Update Date | 01/23/2012
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Provider Practice Location Address
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Address Line | 580 W 8TH ST 6001
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City | JACKSONVILLE
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State | FL
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Zip | 32209-6533
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Country | US
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Telephone | 904-244-9995
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Fax |
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Provider Business Mailing Address
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Address Line | 580 W 8TH ST 6001
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City | JACKSONVILLE
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State | FL
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Zip | 32209-6533
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GONZALO AGUILAR
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Credential | MD
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Telephone | 904-421-2119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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