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General NPI Number Information
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NPI Number | 1932669876
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Entity Type | Individual
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Provider Name | CHANDAN SINGH PA-C
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Gender | Male
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 01/21/2022
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Provider Practice Location Address
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Address Line | 501 E HAMPDEN AVE
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City | ENGLEWOOD
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State | CO
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Zip | 80113-2702
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Country | US
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Telephone | 303-788-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 2755 PARK PL
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City | GRAND PRAIRIE
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State | TX
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Zip | 75052-8583
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Country | US
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Telephone | 816-665-4776
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0006290
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 56651
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License Number State | CA
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