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NPI 1770273013

NPI 1770273013 : ERIC JUSTIN SINGER PA-C : BALTIMORE, MD

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General NPI Number Information
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    NPI Number           |    1770273013
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    Entity Type          |    Individual 
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    Provider Name        |    ERIC JUSTIN SINGER PA-C
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/10/2023
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    Last Update Date     |    07/19/2023
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Provider Practice Location Address
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    Address Line         |    3333 N CALVERT ST STE 200 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21218-6505
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    Country              |    US
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    Telephone            |    410-235-5405
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    17206 HUNTER GREEN RD 
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    City                 |    UPPERCO
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    State                |    MD
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    Zip                  |    21155-9401
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    Country              |    US
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    Telephone            |    443-904-3829
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207XS0106X
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    Taxonomy Name        |    Orthopaedic Hand Surgery Physician
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    License Number       |    C0008935
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    License Number State |    MD
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