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General NPI Number Information
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NPI Number | 1578884706
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Entity Type | Individual
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Provider Name | PRIAMVADA MITRA SINGH M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/22/2010
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 2226 E SEMORAN BLVD
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City | APOPKA
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State | FL
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Zip | 32703-5724
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Country | US
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Telephone | 78-800-0114
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Fax | 407-880-7792
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Provider Business Mailing Address
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Address Line | 5130 SUNFOREST DR STE 300
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City | TAMPA
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State | FL
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Zip | 33634-6327
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Country | US
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Telephone | 727-824-0780
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME114266
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME114266
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License Number State | FL
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