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General NPI Number Information
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NPI Number | 1629206032
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Entity Type | Individual
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Provider Name | AJAY K DHADWAL MBBS
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Gender | Male
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Dates
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Enumeration Date | 06/24/2009
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 420 DELAWARE ST SE MMC 195
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City | MINNEAPOLIS
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State | MN
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Zip | 55455
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Country | US
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Telephone | 612-365-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 6451 N FEDERAL HWY STE 800
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-1409
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Country | US
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Telephone | 548-372-5199
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 88728
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 25MA08690700
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 71127
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 046756
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License Number State | CT
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