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General NPI Number Information
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NPI Number | 1427369883
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Entity Type | Individual
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Provider Name | NIDHI AGARWAL DMD
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Gender | Female
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Dates
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Enumeration Date | 06/30/2010
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Last Update Date | 05/25/2021
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Provider Practice Location Address
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Address Line | 9 WILLOW WOODS DR
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City | SHREWSBURY
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State | MA
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Zip | 01545-6043
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Country | US
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Telephone | 857-284-6358
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Fax |
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Provider Business Mailing Address
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Address Line | 9 WILLOW WOODS DR
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City | SHREWSBURY
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State | MA
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Zip | 01545-6043
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Country | US
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Telephone | 61-730-6127
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 019028384
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN1856537
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN1856537
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License Number State | MA
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