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General NPI Number Information
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NPI Number | 1538654819
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Entity Type | Individual
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Provider Name | ISHAN GARG DO
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Gender | Male
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Dates
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Enumeration Date | 06/28/2018
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Last Update Date | 09/21/2023
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Provider Practice Location Address
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Address Line | 400 W 7TH ST
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City | FREDERICK
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State | MD
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Zip | 21701-4506
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Country | US
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Telephone | 240-566-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 331 MARKET ST E APT 154
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City | GAITHERSBURG
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State | MD
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Zip | 20878-6410
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Country | US
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Telephone | 124-883-5533
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | H0098161
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License Number State | MD
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