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General NPI Number Information
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NPI Number | 1487323853
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Entity Type | Individual
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Provider Name | ADITI CENTER AGRAWAL MD
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Gender | Female
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Dates
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Enumeration Date | 09/09/2021
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 300 W 19TH TER
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City | KANSAS CITY
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State | MO
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Zip | 64108-2026
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Country | US
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Telephone | 816-404-5709
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Fax |
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Provider Business Mailing Address
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Address Line | 64 WOODSTOCK AVE APT 15
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City | BOSTON
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State | MA
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Zip | 02135-7695
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Country | US
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Telephone | 617-415-8445
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2025012912
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License Number State | MO
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