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General NPI Number Information
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NPI Number | 1356514442
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Entity Type | Organization
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Legal Business Name | PJ SINGH DENTAL CORP
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Dates
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Enumeration Date | 04/09/2008
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 4598 S TRACY BLVD SUITE 150
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City | TRACY
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State | CA
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Zip | 95377-8107
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Country | US
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Telephone | 209-221-6666
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Fax | 209-221-7002
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Provider Business Mailing Address
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Address Line | 4598 S TRACY BLVD SUITE 150
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City | TRACY
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State | CA
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Zip | 95377-8107
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Country | US
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Telephone | 209-221-6666
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Fax | 209-221-7002
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PARAMJIT SINGH
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Credential | DDS
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Telephone | 209-221-6666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 47182
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License Number State | CA
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