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General NPI Number Information
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NPI Number | 1588942643
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Entity Type | Individual
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Provider Name | SUDHIR AGGARWAL M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 07/23/2011
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Last Update Date | 08/28/2020
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Provider Practice Location Address
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Address Line | 250 W LANCASTER AVE STE 220
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City | PAOLI
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State | PA
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Zip | 19301-1751
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Country | US
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Telephone | 484-413-2572
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Fax | 484-413-2611
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Provider Business Mailing Address
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Address Line | 250 W LANCASTER AVE STE 220
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City | PAOLI
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State | PA
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Zip | 19301-1751
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Country | US
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Telephone | 484-413-2572
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Fax | 484-413-2611
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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 | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | MD453973
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD453973
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License Number State | PA
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