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General NPI Number Information
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NPI Number | 1619793312
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Entity Type | Organization
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Legal Business Name | RAJVIR SINGH MD INC
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Dates
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Enumeration Date | 11/26/2024
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 999 S FAIRMONT AVE STE 135
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City | LODI
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State | CA
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Zip | 95240-5141
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Country | US
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Telephone | 209-224-5719
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Fax | 209-691-9521
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Provider Business Mailing Address
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Address Line | 999 S FAIRMONT AVE STE 135
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City | LODI
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State | CA
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Zip | 95240-5141
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Country | US
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Telephone | 209-224-5719
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Fax | 209-691-9521
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | RAJVIR SINGH
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Credential | MD
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Telephone | 209-400-4318
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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 |
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License Number State |
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