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General NPI Number Information
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NPI Number | 1184735748
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Entity Type | Organization
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Legal Business Name | SEACOAST ENDOCRINOLOGY PA
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 609 ATLANTIC AVE SUITE B
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City | MILLVILLE
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State | DE
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Zip | 19967-6712
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Country | US
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Telephone | 302-537-8500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 163
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City | NASSAU
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State | DE
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Zip | 19969-0163
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Country | US
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Telephone | 302-537-8500
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | REETU SINGH
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Credential | MD
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Telephone | 302-537-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | C1-0006874
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License Number State | DE
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