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General NPI Number Information
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NPI Number | 1457386971
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Entity Type | Individual
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Provider Name | PRASHANT KUMAR SINGH MD
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 02/17/2009
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Provider Practice Location Address
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Address Line | 600 W RIDGE RD
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City | WYTHEVILLE
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State | VA
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Zip | 24382-1044
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Country | US
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Telephone | 276-228-0200
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Fax | 423-224-3258
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Provider Business Mailing Address
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Address Line | 999 EXECUTIVE PARK BLVD SUITE 201
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City | KINGSPORT
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State | TN
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Zip | 37660-4632
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Country | US
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Telephone | 423-224-3250
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Fax | 423-224-3258
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD429380
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD429380
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101-241070
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 0101241070
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License Number State | VA
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