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General NPI Number Information
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NPI Number | 1811324205
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Entity Type | Organization
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Legal Business Name | SINGH OPTOMETRIC CARE PLLC
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Dates
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Enumeration Date | 10/01/2013
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Last Update Date | 09/28/2021
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Provider Practice Location Address
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Address Line | 6617 CRENSHAW DR
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City | ORLANDO
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State | FL
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Zip | 32835-5749
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Country | US
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Telephone | 646-458-1661
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Fax |
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Provider Business Mailing Address
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Address Line | 8740 SANTIAGO ST
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City | HOLLIS
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State | NY
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Zip | 11423-1120
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DEVIN SINGH
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Credential | O.D.
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Telephone | 646-458-1661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 56-007867
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License Number State | NY
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