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General NPI Number Information
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NPI Number | 1639663479
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Entity Type | Organization
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Legal Business Name | KULDEEP SINGH MEDICINE AND SURGERY, PC
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Dates
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Enumeration Date | 06/15/2018
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Last Update Date | 06/15/2018
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Provider Practice Location Address
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Address Line | 761 MIDDLE COUNTRY RD
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City | SELDEN
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State | NY
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Zip | 11784-2550
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Country | US
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Telephone | 631-736-4064
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Fax | 631-736-1332
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Provider Business Mailing Address
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Address Line | 8 IRIS RD
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City | SUMMIT
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State | NJ
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Zip | 07901-1406
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Country | US
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Telephone | 917-538-2643
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | KULDEEP SINGH
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Credential | MD
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Telephone | 917-538-2643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 251832
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License Number State | NY
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