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General NPI Number Information
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NPI Number | 1609842434
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Entity Type | Individual
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Provider Name | INDERJIT SINGH MD
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Gender | Male
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 03/10/2022
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Provider Practice Location Address
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Address Line | 11155 DUNN RD SUITE 207N
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City | SAINT LOUIS
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State | MO
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Zip | 63136-6149
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Country | US
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Telephone | 314-736-6590
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Fax | 314-736-4359
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Provider Business Mailing Address
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Address Line | PO BOX 1125
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City | MARYLAND HEIGHTS
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State | MO
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Zip | 63043-0125
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Country | US
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Telephone | 314-432-2580
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Fax | 314-432-0223
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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 | 112064
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 036-090622
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 036-090622
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 112064
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License Number State | MO
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