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General NPI Number Information
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NPI Number | 1053663328
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Entity Type | Individual
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Provider Name | MISS MRUDULA SINGHAL
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Gender | Female
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Dates
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Enumeration Date | 10/10/2012
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Last Update Date | 10/10/2012
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Provider Practice Location Address
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Address Line | 1920 OLD SPRINGVILLE RD
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City | CENTER POINT
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State | AL
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Zip | 35215-5858
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Country | US
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Telephone | 312-813-7433
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Fax |
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Provider Business Mailing Address
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Address Line | 2960 HOMESTEAD RD APT# 3
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City | SANTA CLARA
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State | CA
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Zip | 95051-5254
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Country | US
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Telephone | 312-813-7433
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 034727
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License Number State | NY
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