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General NPI Number Information
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NPI Number | 1326239849
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Entity Type | Organization
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Legal Business Name | AMNUAY SINGHAKOWINTA MD PC
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 07/02/2008
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Provider Practice Location Address
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Address Line | 785 N LAPEER RD
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City | LAKE ORION
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State | MI
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Zip | 48362-4012
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Country | US
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Telephone | 248-693-6238
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Fax |
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Provider Business Mailing Address
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Address Line | 785 N LAPEER RD
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City | LAKE ORION
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State | MI
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Zip | 48362-4012
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Country | US
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Telephone | 248-693-6238
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMNUAY SINGHAKOWINTA
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Credential | M.D. P.C.
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Telephone | 248-693-6238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0200X
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Taxonomy Name | Oncology Clinic/Center
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License Number | AS031305
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License Number State | MI
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