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General NPI Number Information
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NPI Number | 1225330285
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Entity Type | Organization
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Legal Business Name | SANTOSH SINGH MD, INC
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Dates
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Enumeration Date | 11/24/2010
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Last Update Date | 11/24/2010
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Provider Practice Location Address
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Address Line | 1605 W KEM RD
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City | MARION
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State | IN
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Zip | 46952-1735
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Country | US
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Telephone | 765-668-8071
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Fax |
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Provider Business Mailing Address
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Address Line | 1605 W KEM RD
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City | MARION
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State | IN
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Zip | 46952-1735
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Country | US
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Telephone | 765-668-8071
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SANTOSH K SINGH
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Credential | MD
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Telephone | 765-668-8071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | 01035011A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 01035011A
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License Number State | IN
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