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General NPI Number Information
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NPI Number | 1205190915
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Entity Type | Organization
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Legal Business Name | PAMELA R. SINGLETARY, DDS, PLLC
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Dates
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Enumeration Date | 06/27/2012
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Last Update Date | 06/27/2012
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Provider Practice Location Address
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Address Line | 3401 EL SALIDO PKWY
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City | CEDAR PARK
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State | TX
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Zip | 78613
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Country | US
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Telephone | 512-401-8888
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Fax | 512-401-8887
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Provider Business Mailing Address
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Address Line | 3401 EL SALIDO PKWY
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City | CEDAR PARK
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State | TX
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Zip | 78613
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Country | US
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Telephone | 512-401-8888
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Fax | 512-401-8887
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Authorized Official
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Title or Position | OWNER/PEDIATRIC DENTIST
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Name | DR. PAMELA RENE SINGLETARY
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Credential | DDS
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Telephone | 512-401-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 17809
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License Number State | TX
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