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General NPI Number Information
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NPI Number | 1497169551
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Entity Type | Organization
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Legal Business Name | PRABHDEEP SINGH, M.D., PLLC
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Dates
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Enumeration Date | 06/17/2014
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Last Update Date | 06/24/2014
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Provider Practice Location Address
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Address Line | 7700 FLOYD CURL DR
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3902
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Country | US
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Telephone | 409-392-5067
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1136
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City | SAN ANTONIO
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State | TX
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Zip | 78294-1136
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Country | US
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Telephone | 409-392-5067
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | PRABHDEEP SINGH
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Credential | MD
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Telephone | 409-392-5067
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | M9659
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License Number State | TX
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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 | M9659
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License Number State | TX
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