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General NPI Number Information
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NPI Number | 1427430123
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Entity Type | Individual
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Provider Name | SAURABH JAGDISHBHAI SINGHAL
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Gender | Male
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Dates
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Enumeration Date | 06/18/2015
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 1270 ATTAKAPAS DR STE 103
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City | OPELOUSAS
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State | LA
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Zip | 70570-6549
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Country | US
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Telephone | 337-678-4152
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2118
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City | OPELOUSAS
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State | LA
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Zip | 70571-2118
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Country | US
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Telephone | 337-678-4152
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 11018455A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 324454
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License Number State | LA
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