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General NPI Number Information
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NPI Number | 1144621780
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Entity Type | Individual
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Provider Name | LISA SINGLETON
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Gender | Female
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Dates
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Enumeration Date | 09/15/2014
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Last Update Date | 09/15/2014
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Provider Practice Location Address
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Address Line | 3619 FALSTONE RD
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23234-3723
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Country | US
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Telephone | 804-986-1358
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1598
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City | CHESTERFIELD
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State | VA
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Zip | 23832-9105
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Country | US
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Telephone | 804-986-1358
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 2065
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License Number State | VA
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