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General NPI Number Information
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NPI Number | 1740224500
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Entity Type | Individual
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Provider Name | JAGDEV I SINGH MD
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Gender | Male
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 03/10/2016
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Provider Practice Location Address
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Address Line | 1212 9TH ST STE BC
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City | ALAMOGORDO
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State | NM
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Zip | 88310-5842
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Country | US
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Telephone | 575-434-2578
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Fax | 575-434-8773
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Provider Business Mailing Address
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Address Line | 2669 SCENIC DR SUITE 1
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City | ALAMOGORDO
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State | NM
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Zip | 88310-8700
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Country | US
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Telephone | 575-437-1900
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Fax | 575-437-3322
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 72-231
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License Number State | NM
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