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General NPI Number Information
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NPI Number | 1841751666
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Entity Type | Individual
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Provider Name | SAMUEL MOSHE SINGER
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Gender | Male
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Dates
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Enumeration Date | 03/26/2019
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 2934 W SHERWIN AVE
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City | CHICAGO
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State | IL
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Zip | 60645-1210
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Country | US
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Telephone | 240-354-6795
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Fax | 216-249-9038
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Provider Business Mailing Address
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Address Line | 2934 W SHERWIN AVE
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City | CHICAGO
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State | IL
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Zip | 60645-1210
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Country | US
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Telephone | 240-354-6795
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Fax | 216-249-9038
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036156177
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 125074917
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License Number State | IL
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