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General NPI Number Information
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NPI Number | 1114419249
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Entity Type | Individual
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Provider Name | BALDEV SINGH PHARM D.
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Gender | Male
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Dates
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Enumeration Date | 06/04/2018
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Last Update Date | 12/31/2019
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Provider Practice Location Address
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Address Line | 2990 E NEES AVE
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City | FRESNO
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State | CA
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Zip | 93720-6008
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Country | US
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Telephone | 559-297-4306
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Fax |
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Provider Business Mailing Address
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Address Line | 2030 PUERTO LIMON CT
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City | SAN JOSE
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State | CA
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Zip | 95116-1534
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Country | US
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Telephone | 408-886-8949
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 81543
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License Number State | CA
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