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General NPI Number Information
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NPI Number | 1669704094
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Entity Type | Organization
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Legal Business Name | KULDEEP SINGH MD,LLC
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Dates
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Enumeration Date | 02/10/2010
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Last Update Date | 02/10/2010
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Provider Practice Location Address
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Address Line | 4804 PEARL RD
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City | CLEVELAND
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State | OH
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Zip | 44109-5144
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Country | US
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Telephone | 440-582-1597
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Fax |
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Provider Business Mailing Address
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Address Line | 339 VILLAGE DR
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City | BROADVIEW HTS
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State | OH
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Zip | 44147-3474
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Country | US
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Telephone | 440-582-1597
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Fax |
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Authorized Official
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Title or Position | OWNER, PRESIDENT
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Name | DR. KULDEEP SINGH
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Credential | M.D.
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Telephone | 440-582-1597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 35-100208
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License Number State | OH
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