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General NPI Number Information
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NPI Number | 1386382265
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Entity Type | Organization
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Legal Business Name | AGHOMD, PLLC
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Dates
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Enumeration Date | 05/22/2022
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Last Update Date | 05/22/2022
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Provider Practice Location Address
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Address Line | 245 5TH AVE FL 3
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City | NEW YORK
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State | NY
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Zip | 10016-8728
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Country | US
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Telephone | 212-245-0200
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Fax | 212-245-0522
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Provider Business Mailing Address
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Address Line | P.O. BOX 491
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City | NEW CITY
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State | NY
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Zip | 10956-0491
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Country | US
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Telephone | 212-245-0200
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Fax | 212-245-0522
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PETER AGHO
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Credential | MD
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Telephone | 212-245-0200
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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 |
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License Number State |
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