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General NPI Number Information
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NPI Number | 1952676801
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Entity Type | Individual
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Provider Name | AMARJOT SINGH D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 03/11/2012
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Last Update Date | 10/27/2015
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Provider Practice Location Address
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Address Line | 2675 E CUMBERLAND ST
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City | PHILADELPHIA
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State | PA
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Zip | 19125-3727
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Country | US
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Telephone | 862-228-4531
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Fax |
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Provider Business Mailing Address
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Address Line | 2216 CORAL ST
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City | PHILADELPHIA
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State | PA
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Zip | 19125-1512
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Country | US
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Telephone | 862-228-4531
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DS039886
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 22DI02567600
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License Number State | NJ
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