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General NPI Number Information
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NPI Number | 1275820870
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Entity Type | Individual
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Provider Name | ANKUR AGGARWAL M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/01/2011
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 2108 AVINITY LOOP
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-5784
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Country | US
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Telephone | 248-497-9101
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Fax |
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Provider Business Mailing Address
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Address Line | 2108 AVINITY LOOP
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-5784
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Country | US
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Telephone | 248-497-9101
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 01085236A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4301099143
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 01085236A
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License Number State | IN
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