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General NPI Number Information
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NPI Number | 1588845937
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Entity Type | Organization
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Legal Business Name | JASMINE SINGH M.D, S.C.
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 11/14/2007
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Provider Practice Location Address
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Address Line | 2117 E 71ST ST
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City | CHICAGO
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State | IL
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Zip | 60649-2103
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Country | US
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Telephone | 773-684-9464
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Fax | 773-684-9492
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Provider Business Mailing Address
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Address Line | 3908 N CASS AVE
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City | WESTMONT
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State | IL
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Zip | 60559-1103
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Country | US
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Telephone | 630-241-4515
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Fax | 630-241-4530
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JASMINE SINGH
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Credential | M.D.
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Telephone | 773-684-9464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036097058
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License Number State | IL
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