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General NPI Number Information
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NPI Number | 1235483595
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Entity Type | Organization
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Legal Business Name | FORSYTH SURGICAL ASSOCIATES
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Dates
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Enumeration Date | 11/07/2012
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Last Update Date | 02/26/2014
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Provider Practice Location Address
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Address Line | 760 HIGHLAND OAKS DR STE 200
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City | WINSTON SALEM
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State | NC
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Zip | 27103-7114
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Country | US
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Telephone | 336-448-2424
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Fax | 336-450-4020
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Provider Business Mailing Address
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Address Line | 760 HIGHLAND OAKS DR STE 200
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City | WINSTON SALEM
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State | NC
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Zip | 27103-7114
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Country | US
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Telephone | 336-448-2424
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Fax | 336-450-4020
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Authorized Official
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Title or Position | MD
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Name | DR. GAJENDRA SINGH
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Credential | MD
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Telephone | 336-448-2424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2011-01245
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License Number State | NC
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