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General NPI Number Information
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NPI Number | 1689373383
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Entity Type | Organization
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Legal Business Name | META DERMATOLOGY
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Dates
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Enumeration Date | 03/01/2023
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Last Update Date | 04/21/2023
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Provider Practice Location Address
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Address Line | 1221 N CHURCH ST STE 204
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City | MOORESTOWN
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State | NJ
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Zip | 08057-1245
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Country | US
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Telephone | 856-213-2569
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Fax |
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Provider Business Mailing Address
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Address Line | 316 CRESCENT DR
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City | BORDENTOWN
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State | NJ
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Zip | 08505-2258
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDNET
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Name | PARMVIR SINGH
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Credential | MD
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Telephone | 609-578-0641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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