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General NPI Number Information
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NPI Number | 1477043230
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Entity Type | Individual
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Provider Name | TANVIR SINGH
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Gender | Male
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Dates
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Enumeration Date | 05/16/2018
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Last Update Date | 01/27/2024
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Provider Practice Location Address
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Address Line | 2045 UNIVERSITY BLVD E
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City | HYATTSVILLE
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State | MD
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Zip | 20783-4137
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Country | US
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Telephone | 240-842-9980
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 138
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City | TOWNSEND
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State | VA
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Zip | 23443-0138
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Country | US
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Telephone | 917-288-9826
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 17416
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License Number State | MD
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