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General NPI Number Information
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NPI Number | 1235459793
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Entity Type | Individual
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Provider Name | POOJA AGGARWAL MD
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Gender | Female
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Dates
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Enumeration Date | 06/08/2010
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Last Update Date | 05/14/2020
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Provider Practice Location Address
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Address Line | 2425 ALHAMBRA BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95817-1110
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Country | US
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Telephone | 916-737-5555
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Fax | 916-436-5559
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Provider Business Mailing Address
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Address Line | 637 WESTCHESTER DR
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City | FOLSOM
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State | CA
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Zip | 95630-6250
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Country | US
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Telephone | 605-595-7301
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A138601
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License Number State | CA
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