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General NPI Number Information
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NPI Number | 1104132331
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Entity Type | Individual
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Provider Name | GARIMA AGRAWAL M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/25/2010
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Last Update Date | 08/25/2010
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Provider Practice Location Address
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Address Line | 660 S EUCLID AVE CMPS BOX 8131, WASH UNIV-DEPT OF NUCLEAR MEDICINE
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1010
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Country | US
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Telephone | 314-362-2809
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Fax | 314-362-2806
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Provider Business Mailing Address
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Address Line | 660 S EUCLID AVE CMPS BOX 8131, WASH UNIV-DEPT OF NUCLEAR MEDICINE
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1010
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Country | US
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Telephone | 314-362-2809
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Fax | 314-362-2806
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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 | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | 2010009148
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License Number State | MO
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