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General NPI Number Information
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NPI Number | 1164499703
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Entity Type | Individual
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Provider Name | STEPHANIE D SINGLETON MD
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Gender | Female
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Dates
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Enumeration Date | 03/02/2006
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | 117 HARMONY XING STE 1
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City | EATONTON
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State | GA
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Zip | 31024-9548
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Country | US
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Telephone | 478-301-2362
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Fax |
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Provider Business Mailing Address
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Address Line | 250 MARTIN LUTHER KING JR BLVD
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City | MACON
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State | GA
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Zip | 31201-3490
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Country | US
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Telephone | 478-301-2362
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Fax | 478-301-2272
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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 | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 28652
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 61757
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License Number State | GA
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