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General NPI Number Information
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NPI Number | 1578976973
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Entity Type | Individual
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Provider Name | AAKRITI GARG SHUKLA M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/04/2014
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 622 W 168TH ST FL 3
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City | NEW YORK
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State | NY
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Zip | 10032-3720
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Country | US
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Telephone | 212-305-9535
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Fax |
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Provider Business Mailing Address
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Address Line | 840 WALNUT ST STE 1110
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5109
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Country | US
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Telephone | 215-928-3197
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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 | 207WX0009X
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Taxonomy Name | Glaucoma Specialist (Ophthalmology) Physician
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License Number | MD466780
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 314658
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD466780
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License Number State | PA
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