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General NPI Number Information
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NPI Number | 1275591000
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Entity Type | Individual
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Provider Name | RANDHIR H SINGH MD
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Gender | Female
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 07/14/2014
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Provider Practice Location Address
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Address Line | 1805 N CALIFORNIA ST STE 409
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City | STOCKTON
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State | CA
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Zip | 95204-6033
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Country | US
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Telephone | 209-476-0900
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Fax | 209-476-0909
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Provider Business Mailing Address
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Address Line | 1805 N CALIFORNIA ST STE 409
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City | STOCKTON
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State | CA
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Zip | 95204-6033
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Country | US
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Telephone | 209-476-0900
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Fax | 209-476-0909
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | A30530
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A30530
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License Number State | CA
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