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General NPI Number Information
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NPI Number | 1407536089
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Entity Type | Organization
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Legal Business Name | SINGH WELLNESS LLC
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Dates
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Enumeration Date | 07/19/2023
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Last Update Date | 11/15/2023
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Provider Practice Location Address
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Address Line | 1975 NW 167TH PL STE 100-23
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City | BEAVERTON
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State | OR
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Zip | 97006-4908
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Country | US
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Telephone | 541-979-0442
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Fax |
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Provider Business Mailing Address
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Address Line | 1975 NW 167TH PL STE 100-23
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City | BEAVERTON
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State | OR
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Zip | 97006-4908
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Country | US
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Telephone | 503-832-6874
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DR. MUKHDIP SINGH
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Credential | MD
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Telephone | 503-832-6874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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