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General NPI Number Information
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NPI Number | 1316030653
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Entity Type | Organization
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Legal Business Name | MALA SINGH,D.O.,INC
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Dates
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Enumeration Date | 09/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 72301 COUNTRY CLUB DR SUITE 106
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-8007
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Country | US
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Telephone | 760-568-5323
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Fax | 760-568-5425
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Provider Business Mailing Address
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Address Line | 72301 COUNTRY CLUB DR SUITE 106
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-8007
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Country | US
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Telephone | 760-568-5323
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Fax | 760-568-5425
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Authorized Official
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Title or Position | OWNER
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Name | DR. MALA SINGH
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Credential | D.O.
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Telephone | 760-568-5323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A9476
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License Number State | CA
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