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General NPI Number Information
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NPI Number | 1831176809
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Entity Type | Individual
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Provider Name | PREM K AGRAWAL MD, FRCS
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Gender | Male
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Dates
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Enumeration Date | 12/29/2005
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Last Update Date | 07/03/2008
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Provider Practice Location Address
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Address Line | 1400 S MAIN ST
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City | FINDLAY
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State | OH
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Zip | 45840-1304
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Country | US
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Telephone | 419-422-5646
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Fax | 419-422-6040
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Provider Business Mailing Address
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Address Line | 2728 FOXFIRE LN
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City | FINDLAY
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State | OH
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Zip | 45840-7138
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Country | US
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Telephone | 419-422-3377
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 35-045878
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License Number State | OH
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