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General NPI Number Information
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NPI Number | 1194960153
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Entity Type | Organization
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Legal Business Name | AJAY K AGGARWAL MDPA
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Dates
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Enumeration Date | 12/04/2008
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Last Update Date | 12/04/2008
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Provider Practice Location Address
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Address Line | 2646 S LOOP W #300
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City | HOUSTON
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State | TX
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Zip | 77054-2665
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Country | US
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Telephone | 877-433-4352
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 271682
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City | HOUSTON
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State | TX
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Zip | 77277-1682
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Country | US
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Telephone | 877-433-4352
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | AJAY KUMAR AGGARWAL
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Credential |
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Telephone | 877-433-4352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | J3418
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License Number State | TX
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