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General NPI Number Information
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NPI Number | 1265551972
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Entity Type | Individual
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Provider Name | DIGISHA AGARWAL M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1500 E MEDICAL CENTER DR MCHC, F 6135
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City | ANN ARBOR
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State | MI
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Zip | 48109-0999
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Country | US
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Telephone | 734-615-0199
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Fax |
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Provider Business Mailing Address
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Address Line | 3036 BARCLAY WAY
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City | ANN ARBOR
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State | MI
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Zip | 48105-9464
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Country | US
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Telephone | 734-864-5260
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 4301087426
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License Number State | MI
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