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General NPI Number Information
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NPI Number | 1164734620
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Entity Type | Individual
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Provider Name | ANJU AGARWAL M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/12/2010
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 1641 MAHAN CENTER BLVD STE 2
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City | TALLAHASSEE
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State | FL
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Zip | 32308-7404
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Country | US
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Telephone | 850-807-9850
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Fax | 850-807-9851
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Provider Business Mailing Address
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Address Line | 1641 MAHAN CENTER BLVD STE 2
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City | TALLAHASSEE
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State | FL
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Zip | 32308-7404
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Country | US
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Telephone | 850-807-9850
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Fax | 850-807-9851
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | ME149023
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License Number State | FL
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