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General NPI Number Information
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NPI Number | 1316763212
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Entity Type | Individual
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Provider Name | BARRY DIRKSEN SINGLETON PMHNP
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Gender | Male
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Dates
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Enumeration Date | 11/25/2024
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 928 NUUANU AVE STE 202
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City | HONOLULU
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State | HI
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Zip | 96817-5190
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Country | US
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Telephone | 808-777-9460
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Fax |
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Provider Business Mailing Address
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Address Line | 206 BLUE GRASS CIR SE
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City | CLEVELAND
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State | TN
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Zip | 37323-0802
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Country | US
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Telephone | 423-432-1981
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 37680
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License Number State | TN
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