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General NPI Number Information
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NPI Number | 1992983936
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Entity Type | Individual
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Provider Name | RAJALAKSHMI A AGRAWAL MD
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Gender | Female
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Dates
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Enumeration Date | 02/01/2008
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Last Update Date | 02/01/2008
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Provider Practice Location Address
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Address Line | 1080 SOUTH VAN DYKE ROAD SUITE B
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City | BAD AXE
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State | MI
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Zip | 48413-9001
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Country | US
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Telephone | 989-269-8824
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Fax | 929-269-8825
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Provider Business Mailing Address
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Address Line | 1080 SOUTH VAN DYKE ROAD SUITE B
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City | BAD AXE
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State | MI
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Zip | 48413-9001
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Country | US
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Telephone | 989-269-8824
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Fax | 929-269-8825
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 4301038421
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License Number State | MI
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