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General NPI Number Information
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NPI Number | 1619156536
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Entity Type | Organization
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Legal Business Name | SURJIT SINGH MD INC
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Dates
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Enumeration Date | 10/27/2007
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Last Update Date | 02/18/2008
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Provider Practice Location Address
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Address Line | 3642 S 4TH ST
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City | TERRE HAUTE
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State | IN
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Zip | 47802-5543
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Country | US
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Telephone | 812-234-7945
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Fax | 812-234-6059
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Provider Business Mailing Address
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Address Line | 3642 S 4TH ST
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City | TERRE HAUTE
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State | IN
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Zip | 47802-5543
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Country | US
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Telephone | 812-234-7945
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Fax | 812-234-6059
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SURJIT SINGH
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Credential | MD
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Telephone | 812-234-7945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 01035135A
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License Number State | IN
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