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General NPI Number Information
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NPI Number | 1316209935
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Entity Type | Organization
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Legal Business Name | NIROG MEDICAL INC
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Dates
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Enumeration Date | 06/11/2012
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Last Update Date | 10/03/2013
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Provider Practice Location Address
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Address Line | 6001 TRUXTUN AVE SUITE 180-A
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City | BAKERSFIELD
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State | CA
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Zip | 93309-0679
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Country | US
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Telephone | 661-249-6600
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Fax | 661-249-6877
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Provider Business Mailing Address
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Address Line | 6001 TRUXTUN AVE BLDG A, SUITE 180
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City | BAKERSFIELD
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State | CA
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Zip | 93309-0679
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Country | US
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Telephone | 661-249-6600
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Fax | 661-249-6877
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHWETA AGARWAL
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Credential | M.D.
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Telephone | 661-249-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A99233
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A98555
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A98555
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License Number State | CA
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