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General NPI Number Information
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NPI Number | 1801830468
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Entity Type | Individual
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Provider Name | RAVI AGARWAL M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 10/11/2017
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Provider Practice Location Address
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Address Line | 75 BEEKMAN ST
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City | PLATTSBURGH
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State | NY
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Zip | 12901-1438
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Country | US
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Telephone | 850-496-0855
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Fax |
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Provider Business Mailing Address
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Address Line | 25 BIGGS PL
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City | FLEMINGTON
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State | NJ
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Zip | 08822-3378
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Country | US
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Telephone | 850-496-0855
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | ME69036
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | MD 048948 L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 35082014
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 278608
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License Number State | NY
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