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General NPI Number Information
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NPI Number | 1538628789
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Entity Type | Individual
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Provider Name | PRATIMA AGARWAL
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Gender | Female
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Dates
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Enumeration Date | 03/18/2019
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Last Update Date | 08/30/2025
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Provider Practice Location Address
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Address Line | 9980 PARK MEADOWS DR STE 200
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City | LONE TREE
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State | CO
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Zip | 80124-8406
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Country | US
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Telephone | 303-744-1961
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Fax |
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Provider Business Mailing Address
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Address Line | 850 E HARVARD AVE STE 505
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City | DENVER
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State | CO
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Zip | 80210-5078
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Country | US
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Telephone |
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 280140
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 35.151172
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | DR.0075745
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License Number State | CO
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