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General NPI Number Information
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NPI Number | 1235394628
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Entity Type | Organization
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Legal Business Name | INDERJIT SINGH MD FACP LLC
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Dates
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Enumeration Date | 07/24/2008
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 300 HEALTH WAY DR
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City | POTOSI
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State | MO
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Zip | 63664-1420
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Country | US
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Telephone | 573-438-5451
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 503681
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City | SAINT LOUIS
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State | MO
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Zip | 63150-3681
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Country | US
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Telephone | 314-432-2580
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Fax | 314-432-0223
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Authorized Official
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Title or Position | MANAGER
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Name | JACKI JORDAN
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Credential |
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Telephone | 314-432-2580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 112064
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License Number State | MO
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