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NPI 1780604314

NPI 1780604314 : JONAS SINGER M.D. : SAINT LOUIS, MO

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General NPI Number Information
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    NPI Number           |    1780604314
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    Entity Type          |    Individual 
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    Provider Name        |    JONAS SINGER M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/19/2006
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    Last Update Date     |    12/12/2025
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Provider Practice Location Address
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    Address Line         |    915 N GRAND BLVD 
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    City                 |    SAINT LOUIS
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    State                |    MO
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    Zip                  |    63106-1621
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    Country              |    US
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    Telephone            |    314-974-6594
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    915 N GRAND BLVD 
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    City                 |    SAINT LOUIS
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    State                |    MO
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    Zip                  |    63106-1621
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    Country              |    US
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    Telephone            |    314-974-6594
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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        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    R2J63
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    License Number State |    MO
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Taxonomy #2
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    036080174
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    License Number State |    IL
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