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General NPI Number Information
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NPI Number | 1023308053
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Entity Type | Individual
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Provider Name | MR. PETER SINGLETON
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Gender | Male
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Dates
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Enumeration Date | 04/11/2011
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Last Update Date | 04/11/2011
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Provider Practice Location Address
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Address Line | 2930 W IMPERIAL HWY
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City | INGLEWOOD
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State | CA
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Zip | 90303-3143
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Country | US
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Telephone | 323-754-2989
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Fax |
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Provider Business Mailing Address
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Address Line | 238 W 45TH ST APT 6
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City | LOS ANGELES
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State | CA
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Zip | 90037-2780
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Country | US
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Telephone | 323-490-3158
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 190529AN
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License Number State | CA
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