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General NPI Number Information
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NPI Number | 1124151857
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Entity Type | Organization
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Legal Business Name | KRISHNA R. SINGH MD APMC
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 12/29/2011
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Provider Practice Location Address
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Address Line | 6047 FIVE OAKS DR SUITE D
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City | SHREVEPORT
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State | LA
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Zip | 71129-2596
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Country | US
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Telephone | 318-686-5255
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Fax | 318-686-5239
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Provider Business Mailing Address
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Address Line | 6047 FIVE OAKS DR SUITE D
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City | SHREVEPORT
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State | LA
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Zip | 71129-2596
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Country | US
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Telephone | 318-686-5255
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Fax | 318-686-5239
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Authorized Official
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Title or Position | MD/OWNER
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Name | DR. KRISHNA R SINGH
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Credential | M.D.
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Telephone | 318-686-5255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 09508R
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License Number State | LA
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