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General NPI Number Information
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NPI Number | 1396521027
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Entity Type | Organization
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Legal Business Name | AG PSYCHIATRY
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Dates
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Enumeration Date | 09/07/2023
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Last Update Date | 04/22/2026
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Provider Practice Location Address
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Address Line | 2601 LITTLE ELM PKWY STE 2503
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City | LITTLE ELM
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State | TX
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Zip | 75068-6706
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Country | US
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Telephone | 516-710-2906
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Fax |
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Provider Business Mailing Address
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Address Line | 2781 AUTUMN LN
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City | FRISCO
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State | TX
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Zip | 75036-4328
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Country | US
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Telephone | 516-710-2906
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. PRATIBHA AGARWAL
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Credential | MD
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Telephone | 516-710-2906
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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