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General NPI Number Information
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NPI Number | 1780649608
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Entity Type | Individual
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Provider Name | ASHOKE AGARWAL MD FACC
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Gender | Male
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 10/27/2016
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Provider Practice Location Address
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Address Line | 715 BROADWAY STE 1
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City | PATERSON
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State | NJ
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Zip | 07514
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Country | US
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Telephone | 973-684-8617
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Fax | 973-523-6037
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Provider Business Mailing Address
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Address Line | 715 BROADWAY STE 1
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City | PATERSON
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State | NJ
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Zip | 07514
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Country | US
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Telephone | 973-684-8617
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Fax | 973-523-6037
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MA38759
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MA38759
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | MA38759
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 25MA03875900
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License Number State | NJ
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