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General NPI Number Information
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NPI Number | 1245517507
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Entity Type | Organization
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Legal Business Name | DEVENDRA K SINGH MDPC
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Dates
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Enumeration Date | 11/14/2011
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Last Update Date | 11/14/2011
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Provider Practice Location Address
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Address Line | 41 BAY AVE
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City | EAST MORICHES
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State | NY
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Zip | 11940-1209
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Country | US
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Telephone | 631-878-4377
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Fax | 631-878-5587
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Provider Business Mailing Address
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Address Line | 41 BAY AVE
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City | EAST MORICHES
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State | NY
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Zip | 11940-1209
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Country | US
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Telephone | 631-878-4377
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Fax | 631-878-5587
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DEVENDRA KUMAR SINGH
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Credential | MD
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Telephone | 631-878-4377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 123643
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License Number State | NY
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