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General NPI Number Information
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NPI Number | 1134942972
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Entity Type | Organization
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Legal Business Name | INFECTIOUS DISEASES STEWARDS LLC
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Dates
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Enumeration Date | 10/31/2024
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 14827 N 62ND PL
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-2586
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Country | US
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Telephone | 518-588-4958
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Fax |
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Provider Business Mailing Address
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Address Line | 14827 N 62ND PL
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-2586
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Country | US
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Telephone | 518-588-4958
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. KUMARA SINGARAVELU
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Credential | MD
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Telephone | 518-588-4958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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