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General NPI Number Information
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NPI Number | 1689848509
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Entity Type | Organization
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Legal Business Name | VINAY R AGGARWAL MD, PLLC
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 09/24/2015
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Provider Practice Location Address
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Address Line | 80 WEST AVE SUITE 101
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City | BROCKPORT
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State | NY
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Zip | 14420-1322
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Country | US
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Telephone | 585-637-9510
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Fax |
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Provider Business Mailing Address
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Address Line | 80 WEST AVE SUITE 101
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City | BROCKPORT
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State | NY
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Zip | 14420-1322
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Country | US
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Telephone | 585-637-9510
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VINAY R AGGARWAL
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Credential | MD
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Telephone | 585-637-9510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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