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General NPI Number Information
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NPI Number | 1801919816
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Entity Type | Organization
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Legal Business Name | AGARWAL & AGARWAL MDS INC
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 05/17/2011
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Provider Practice Location Address
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Address Line | 7405 BRANDT PK
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424-3239
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Country | US
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Telephone | 937-236-2155
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Fax | 937-236-4639
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Provider Business Mailing Address
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Address Line | 7405 BRANDT PK
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424-3239
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Country | US
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Telephone | 937-236-2155
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Fax | 937-236-4639
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Authorized Official
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Title or Position | VICEPRESIDENT
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Name | DR. ASHA AGARWAL
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Credential | M.D
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Telephone | 937-236-2155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0000X
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Taxonomy Name | Adolescent Medicine (Internal Medicine) Physician
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License Number | 049806
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License Number State | OH
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