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General NPI Number Information
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NPI Number | 1659300796
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Entity Type | Individual
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Provider Name | ABHIN SINGLA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 11/12/2018
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Provider Practice Location Address
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Address Line | 801 N LARKIN AVE STE 101
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City | JOLIET
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State | IL
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Zip | 60435
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Country | US
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Telephone | 815-744-0029
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Fax | 815-744-3768
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Provider Business Mailing Address
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Address Line | 801 N LARKIN AVE STE 101
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City | JOLIET
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State | IL
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Zip | 60435-3470
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Country | US
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Telephone | 815-744-0029
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Fax | 815-744-3768
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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 | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | 036093920
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License Number State | IL
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