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General NPI Number Information
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NPI Number | 1689989477
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Entity Type | Individual
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Provider Name | DARREN SANJAY SINGH O.D.
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Gender | Male
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Dates
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Enumeration Date | 08/17/2010
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Last Update Date | 08/17/2010
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Provider Practice Location Address
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Address Line | 580 HIGHWAY 17 N
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City | NORTH MYRTLE BEACH
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State | SC
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Zip | 29582-2904
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Country | US
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Telephone | 843-282-6840
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Fax |
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Provider Business Mailing Address
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Address Line | 8388 143 A STREET
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City | SURREY
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State | BRITISH COLUMBIA
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Zip | V3W0W3
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Country | CA
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Telephone | 857-233-6536
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT.1618 OPT
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License Number State | SC
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