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General NPI Number Information
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NPI Number | 1285825653
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Entity Type | Organization
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Legal Business Name | ANOOP K SINGH MD LLC
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Dates
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Enumeration Date | 08/09/2007
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Last Update Date | 10/05/2011
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Provider Practice Location Address
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Address Line | 1616 S COLUMBIA ST SUITE B
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City | BOGALUSA
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State | LA
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Zip | 70427-5880
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Country | US
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Telephone | 985-735-6005
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Fax | 985-735-6009
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Provider Business Mailing Address
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Address Line | 320 APPLEWOOD DR
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City | SLIDELL
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State | LA
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Zip | 70461-5072
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Country | US
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Telephone | 985-781-7903
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Fax | 985-781-7904
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANOOP K SINGH
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Credential | M.D
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Telephone | 985-735-6055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 11829R
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License Number State | LA
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