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General NPI Number Information
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NPI Number | 1891041125
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Entity Type | Individual
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Provider Name | POOJA AGARWAL M.D
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Gender | Female
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Dates
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Enumeration Date | 07/24/2012
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Last Update Date | 04/28/2022
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Provider Practice Location Address
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Address Line | 3400 OLD MILTON PKWY STE 270
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City | ALPHARETTA
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State | GA
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Zip | 30005-3707
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Country | US
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Telephone | 770-442-1911
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Fax | 770-442-0306
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Provider Business Mailing Address
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Address Line | 3400 OLD MILTON PKWY STE C200
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City | ALPHARETTA
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State | GA
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Zip | 30005-3742
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Country | US
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Telephone | 770-442-1911
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 73097
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License Number State | GA
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