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General NPI Number Information
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NPI Number | 1982034401
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Entity Type | Individual
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Provider Name | CAMILLE R. SINGH O.D.
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Gender | Female
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Dates
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Enumeration Date | 11/19/2013
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Last Update Date | 03/25/2021
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Provider Practice Location Address
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Address Line | 13706 W BELL RD STE 10
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City | SURPRISE
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State | AZ
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Zip | 85374-3557
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Country | US
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Telephone | 623-546-0577
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 N BULLARD AVE APT 1155
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City | GOODYEAR
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State | AZ
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Zip | 85395-3359
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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 |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1950
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618002624
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License Number State | VA
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