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General NPI Number Information
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NPI Number | 1730333014
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Entity Type | Organization
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Legal Business Name | ASHISH AGRAWAL MD INC
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Dates
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Enumeration Date | 11/12/2008
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Last Update Date | 02/09/2010
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Provider Practice Location Address
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Address Line | 4020 EAGLE ST
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City | SAN DIEGO
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State | CA
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Zip | 92103-1917
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Country | US
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Telephone | 619-417-1369
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 81026
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City | SAN DIEGO
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State | CA
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Zip | 92138-1026
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Country | US
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Telephone | 619-417-1369
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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. ASHISH T AGRAWAL
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Credential | M.D.
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Telephone | 619-417-1369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | A67061
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | A67061
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License Number State | CA
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