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General NPI Number Information
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NPI Number | 1891914206
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Entity Type | Individual
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Provider Name | NITIN GARG MBBS
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Gender | Male
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 10825 W MCDOWELL RD SUITE 310
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City | AVONDALE
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State | AZ
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Zip | 85392
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Country | US
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Telephone | 602-641-9486
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Fax | 480-500-8430
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Provider Business Mailing Address
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Address Line | 10825 W MCDOWELL RD STE 310
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City | AVONDALE
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State | AZ
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Zip | 85392-5228
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Country | US
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Telephone | 602-641-9486
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Fax | 480-500-8430
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 59413
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 34014
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 30039
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 52443
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License Number State | MN
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Taxonomy #5
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4967
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License Number State | NE
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