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General NPI Number Information
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NPI Number | 1649255936
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Entity Type | Individual
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Provider Name | ARCHNA AGGARWAL M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/09/2005
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 3401 BERRYWOOD DR
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City | COLUMBIA
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State | MO
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Zip | 65201-8372
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Country | US
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Telephone | 573-777-8330
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Fax | 573-777-8330
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Provider Business Mailing Address
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Address Line | 2885 W BATTLEFIELD ST
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City | SPRINGFIELD
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State | MO
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Zip | 65807-3952
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Country | US
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Telephone | 417-761-5214
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 101422
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License Number State | MO
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