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General NPI Number Information
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NPI Number | 1215095187
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Entity Type | Organization
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Legal Business Name | SINGAL MEDICAL PC
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 07/17/2008
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Provider Practice Location Address
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Address Line | 21115 JAMAICA AVE
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City | QUEENS VILLAGE
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State | NY
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Zip | 11428-1532
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Country | US
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Telephone | 718-454-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 21115 JAMAICA AVE
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City | QUEENS VILLAGE
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State | NY
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Zip | 11428-1532
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Country | US
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Telephone | 718-454-5700
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SANJIV SINGAL
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Credential | M.D.
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Telephone | 718-454-5700
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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 | 214344
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 198120
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License Number State | NY
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