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General NPI Number Information
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NPI Number | 1780947937
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Entity Type | Individual
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Provider Name | GURJEET SINGH M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/22/2012
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Last Update Date | 12/23/2022
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Provider Practice Location Address
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Address Line | 2211 NE 139TH ST
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City | VANCOUVER
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State | WA
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Zip | 98686-2742
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Country | US
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Telephone | 360-487-4717
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2077
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City | PORTLAND
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State | OR
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Zip | 97208-2077
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Country | US
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Telephone | 503-415-5982
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MC-1674
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD60720449
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License Number State | WA
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