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NPI Code Detail

MEDICARE: ANALY AGUILAR

MEDICARE:   ANALY  AGUILAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1247200000XOther Technician
2103T00000XPsychologist

General Provider Information

NPI Number : 1871029447
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANALY AGUILAR
Provider Business Mailing Address
First Line : 25900 GREENFIELD RD STE 100
Second Line :
City : OAK PARK
State : MI
Zip : 48237-1297
Country : US
Telephone Number : 248-788-4300
Fax Number :
Provider Business Practice Location Address
First Line : 25900 GREENFIELD RD STE 100
Second Line :
City : OAK PARK
State : MI
Zip : 48237-1297
Country : US
Telephone Number : 248-788-4300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2017
Last Update Date : 12/07/2022

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Directions to “ ANALY AGUILAR ” Practice Location

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