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General NPI Number Information
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NPI Number | 1740203736
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Entity Type | Organization
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Legal Business Name | KANWAL J SINGH MD FACC INC
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 09/14/2012
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Provider Practice Location Address
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Address Line | 1290 E ALMOND AVE
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City | MADERA
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State | CA
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Zip | 93637-5606
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Country | US
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Telephone | 559-661-6212
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Fax | 559-661-6216
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Provider Business Mailing Address
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Address Line | 1290 E ALMOND AVE
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City | MADERA
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State | CA
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Zip | 93637
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Country | US
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Telephone | 559-661-6212
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Fax | 559-661-6216
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Authorized Official
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Title or Position | BILLER
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Name | MRS. MEGAN PHILLIPS
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Credential |
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Telephone | 559-661-6212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A46659
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License Number State | CA
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