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General NPI Number Information
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NPI Number | 1750398061
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Entity Type | Organization
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Legal Business Name | KANWAL J. SINGH, M.D. F.A.C.C.,INC.
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 08/22/2020
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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 | 93637-5606
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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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Authorized Official
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Title or Position | OWNER
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Name | KANWAL JEET SINGH
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Credential | M.D.
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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