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General NPI Number Information
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NPI Number | 1386915635
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Entity Type | Organization
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Legal Business Name | AGGARWAL OPHTHALMOLOGY
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Dates
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Enumeration Date | 01/18/2012
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 10501 TELEGRAPH RD STE 102
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City | TAYLOR
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State | MI
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Zip | 48180-3376
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Country | US
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Telephone | 313-228-5341
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Fax |
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Provider Business Mailing Address
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Address Line | 10501 TELEGRAPH RD STE 102
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City | TAYLOR
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State | MI
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Zip | 48180-3376
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Country | US
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Telephone | 313-228-5341
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. HIMANSHU AGGARWAL
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Credential | MD
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Telephone | 248-790-5380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 4301092928
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License Number State | MI
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