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NPI 1477296986

NPI 1477296986 : SINGH MEDICAL GROUP PLLC : LAS VEGAS, NV

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General NPI Number Information
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    NPI Number           |    1477296986
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    Entity Type          |    Organization 
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    Legal Business Name  |    SINGH MEDICAL GROUP PLLC 
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Dates
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    Enumeration Date     |    04/14/2022
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    Last Update Date     |    04/14/2022
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Provider Practice Location Address
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    Address Line         |    2701 N TENAYA WAY STE 100 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89128-0479
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    Country              |    US
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    Telephone            |    702-483-5515
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 33696 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89133-3696
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    Country              |    US
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    Telephone            |    702-483-5515
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SUNDEEP  SINGH 
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    Credential           |    MD
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    Telephone            |    760-514-2111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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