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General NPI Number Information
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NPI Number | 1659965754
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Entity Type | Individual
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Provider Name | DR. HARINDER PAUL SINGH
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Gender | Male
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Dates
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Enumeration Date | 03/01/2021
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Last Update Date | 03/01/2021
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Provider Practice Location Address
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Address Line | 3526 MANTHEY RD
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City | STOCKTON
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State | CA
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Zip | 95206-5301
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Country | US
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Telephone | 209-983-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 21828 SE 269TH ST
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City | MAPLE VALLEY
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State | WA
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Zip | 98038-7416
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Country | US
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Telephone | 206-228-7914
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 106027
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License Number State | CA
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