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General NPI Number Information
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NPI Number | 1598949042
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Entity Type | Individual
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Provider Name | SHAKUNTLA SINGH ED.S
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Gender | Female
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Dates
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Enumeration Date | 12/19/2007
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Last Update Date | 12/19/2007
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Provider Practice Location Address
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Address Line | 3802 N 91ST AVE
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City | PHOENIX
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State | AZ
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Zip | 85037-2368
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Country | US
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Telephone | 623-772-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 2210 N 135TH DR
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City | GOODYEAR
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State | AZ
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Zip | 85395-2294
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Country | US
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Telephone | 520-664-4533
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 2759526
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License Number State | AZ
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