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General NPI Number Information
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NPI Number | 1528524188
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Entity Type | Organization
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Legal Business Name | RICKY SINGH DMD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 02/19/2019
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Last Update Date | 02/19/2019
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Provider Practice Location Address
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Address Line | 914 THE ALAMEDA
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City | BERKELEY
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State | CA
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Zip | 94707-2308
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Country | US
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Telephone | 520-524-6234
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Fax |
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Provider Business Mailing Address
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Address Line | 914 THE ALAMEDA
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City | BERKELEY
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State | CA
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Zip | 94707-2308
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RICKY SINGH
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Credential |
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Telephone | 510-524-6234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0112X
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Taxonomy Name | Oral and Maxillofacial Surgery Clinic/Center
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License Number |
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License Number State |
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