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General NPI Number Information
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NPI Number | 1760062228
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Entity Type | Individual
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Provider Name | SAIRA AGARWALA MD
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Gender | Female
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Dates
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Enumeration Date | 04/09/2021
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 333 COTTMAN AVENUE N/A
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City | PHILADELPHIA
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State | PA
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Zip | 19111-2434
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Country | US
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Telephone | 215-214-3992
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Fax |
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Provider Business Mailing Address
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Address Line | 801 OSTRUM ST
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City | BETHLEHEM
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State | PA
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Zip | 18015-1000
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Country | US
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Telephone | 484-526-0433
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD487901
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License Number State | PA
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