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General NPI Number Information
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NPI Number | 1487964375
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Entity Type | Individual
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Provider Name | MEDHA SINGH BDS, DMD, MS
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Gender | Female
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Dates
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Enumeration Date | 10/14/2010
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Last Update Date | 05/11/2016
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Provider Practice Location Address
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Address Line | 71 ROUTE 101A
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City | AMHERST
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State | NH
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Zip | 03031-2274
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Country | US
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Telephone | 603-262-1299
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Fax |
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Provider Business Mailing Address
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Address Line | 53 PAUL ST APT 17
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City | NEWTON
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State | MA
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Zip | 02459-2476
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Country | US
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Telephone | 617-953-7376
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | DN1855508
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 03870
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License Number State | NH
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