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General NPI Number Information
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NPI Number | 1376745075
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Entity Type | Organization
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Legal Business Name | SAVINDER SINGH
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 40 BERGEN ST
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City | BRENTWOOD
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State | NY
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Zip | 11717-3720
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Country | US
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Telephone | 631-434-7796
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Fax |
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Provider Business Mailing Address
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Address Line | 40 BERGEN ST
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City | BRENTWOOD
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State | NY
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Zip | 11717-3720
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Country | US
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Telephone | 631-434-7796
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MR. SAVINDER P SINGH
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Credential | OT
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Telephone | 631-434-7796
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 010516
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License Number State | NY
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