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General NPI Number Information
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NPI Number | 1861459646
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Entity Type | Organization
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Legal Business Name | RAGHVENDRA P SINGH DO
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7557 MORNING BROOK DR
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City | LAS VEGAS
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State | NV
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Zip | 89131-2507
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Country | US
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Telephone | 702-739-6800
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Fax | 702-739-7800
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Provider Business Mailing Address
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Address Line | 7557 MORNING BROOK DR
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City | LAS VEGAS
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State | NV
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Zip | 89131-2507
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Country | US
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Telephone | 702-739-6800
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Fax | 702-739-7800
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Authorized Official
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Title or Position | OWNER
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Name | RAGHVENDRA P SINGH
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Credential | DO
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Telephone | 702-739-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 848
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License Number State | NV
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