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General NPI Number Information
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NPI Number | 1659037505
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Entity Type | Organization
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Legal Business Name | ADOCTOR247
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Dates
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Enumeration Date | 11/15/2021
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Last Update Date | 11/16/2021
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Provider Practice Location Address
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Address Line | 5763 STEVENSON BLVD # C
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City | NEWARK
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State | CA
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Zip | 94560-5301
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Country | US
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Telephone | 510-650-8125
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Fax | 510-656-5704
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Provider Business Mailing Address
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Address Line | 5763 STEVENSON BLVD # C
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City | NEWARK
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State | CA
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Zip | 94560-5301
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Country | US
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Telephone | 510-241-5149
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Fax | 510-656-5704
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Authorized Official
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Title or Position | CEO
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Name | MR. PARMJIT SINGH
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Credential | MD
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Telephone | 510-650-8125
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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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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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