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General NPI Number Information
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NPI Number | 1205580545
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Entity Type | Individual
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Provider Name | LAKERAM SINGH
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Gender | Male
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Dates
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Enumeration Date | 02/07/2022
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Last Update Date | 02/07/2022
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Provider Practice Location Address
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Address Line | 1 CRUM ELBOW RD
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City | HYDE PARK
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State | NY
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Zip | 12538-2806
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Country | US
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Telephone | 845-229-4312
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Fax |
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Provider Business Mailing Address
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Address Line | 10112 121ST ST
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City | SOUTH RICHMOND HILL
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State | NY
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Zip | 11419-2122
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Country | US
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Telephone | 917-204-6274
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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 | 068801
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License Number State | NY
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