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General NPI Number Information
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NPI Number | 1518146554
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Entity Type | Individual
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Provider Name | RAJIV KUMAR AGGARWAL MBBS
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Gender | Male
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Dates
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Enumeration Date | 10/26/2007
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Last Update Date | 05/24/2020
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Provider Practice Location Address
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Address Line | 211 S KING ST
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City | LEESBURG
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State | VA
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Zip | 20175-2905
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Country | US
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Telephone | 571-223-3833
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Fax | 571-223-3834
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Provider Business Mailing Address
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Address Line | 1860 TOWN CENTER DR STE 340
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City | RESTON
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State | VA
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Zip | 20190-5912
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Country | US
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Telephone | 571-223-3833
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101232243
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License Number State | VA
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