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General NPI Number Information
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NPI Number | 1326001819
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Entity Type | Organization
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Legal Business Name | CENTER FOR DIGESTIVE DISEASES AND CARY ENDOSCOPY CENTER, PC
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Dates
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Enumeration Date | 04/07/2006
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Last Update Date | 08/06/2018
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Provider Practice Location Address
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Address Line | 1120 SE CARY PKWY SUITE 204
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City | CARY
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State | NC
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Zip | 27518
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Country | US
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Telephone | 919-854-0041
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Fax | 919-854-0049
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Provider Business Mailing Address
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Address Line | 1120 SE CARY PKWY SUITE 204
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City | CARY
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State | NC
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Zip | 27518-7410
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Country | US
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Telephone | 919-854-0041
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Fax | 919-854-0049
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HARMINDER PAUL SINGH
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Credential | M.D.
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Telephone | 919-854-0041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | AS0072
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 83737/131392
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License Number State | NC
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