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General NPI Number Information
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NPI Number | 1316262363
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Entity Type | Individual
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Provider Name | MANUJ AGARWAL MD
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Gender | Male
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Dates
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Enumeration Date | 04/01/2010
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 333 COTTMAN AVENUE
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City | PHILADELPHIA
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State | PA
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Zip | 19111-2434
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Country | US
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Telephone | 215-728-2581
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Fax | 215-214-4038
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Provider Business Mailing Address
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Address Line | 3500 N BROAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19140-5103
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Country | US
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Telephone | 215-707-2433
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 25MA12019900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 0101280527
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 327352
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | MD466047
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License Number State | PA
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