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General NPI Number Information
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NPI Number | 1255569661
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Entity Type | Individual
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Provider Name | LISA MARIE CHARGUALAF-SINGA M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/24/2009
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Last Update Date | 07/29/2021
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Provider Practice Location Address
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Address Line | 12221 N MOPAC EXPY
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City | AUSTIN
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State | TX
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Zip | 78758-2401
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Country | US
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Telephone | 925-378-4022
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Fax |
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Provider Business Mailing Address
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Address Line | 2175 N CALIFORNIA BLVD STE 425
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City | WALNUT CREEK
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State | CA
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Zip | 94596-7164
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Country | US
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Telephone | 925-543-0140
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Fax | 844-874-6310
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A150055
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | T2138
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License Number State | TX
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