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General NPI Number Information
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NPI Number | 1316160799
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Entity Type | Organization
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Legal Business Name | AGARWAL HEALTH CENTER, LLC
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 07/25/2007
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Provider Practice Location Address
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Address Line | 85 S HARRISON ST SUITE 104
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City | EAST ORANGE
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State | NJ
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Zip | 07018-1700
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Country | US
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Telephone | 973-676-1234
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Fax | 973-676-0009
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Provider Business Mailing Address
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Address Line | 85 S HARRISON ST SUITE 104
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City | EAST ORANGE
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State | NJ
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Zip | 07018-1700
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Country | US
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Telephone | 973-676-1234
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Fax | 973-676-0009
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Authorized Official
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Title or Position | OWNER
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Name | SHASHI AGARWAL
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Credential | MD
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Telephone | 973-676-1234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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