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General NPI Number Information
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NPI Number | 1114067626
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Entity Type | Individual
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Provider Name | KAREN SINGLETARY-FULLER MA CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 05/19/2011
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Provider Practice Location Address
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Address Line | 4211 RIDGE TOP RD APT 3626
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City | FAIRFAX
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State | VA
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Zip | 22030-1111
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Country | US
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Telephone | 703-298-3421
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Fax |
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Provider Business Mailing Address
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Address Line | 4211 RIDGE TOP RD APT 3626
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City | FAIRFAX
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State | VA
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Zip | 22030-1111
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Country | US
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Telephone | 703-298-3421
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 7112
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2293
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202003160
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP007149
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License Number State | GA
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