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General NPI Number Information
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NPI Number | 1285640896
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Entity Type | Individual
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Provider Name | IGOR SINGER MD
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Gender | Male
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 04/13/2009
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Provider Practice Location Address
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Address Line | 3801 SPRINGHURST BLVD SUITE 104
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City | LOUISVILLE
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State | KY
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Zip | 40241-6137
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Country | US
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Telephone | 502-425-5614
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Fax | 502-425-5633
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Provider Business Mailing Address
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Address Line | 3801 SPRINGHURST BLVD SUITE 104
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City | LOUISVILLE
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State | KY
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Zip | 40241-6137
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Country | US
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Telephone | 502-425-5614
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Fax | 502-425-5633
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 25392
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 036109211
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License Number State | IL
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