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General NPI Number Information
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NPI Number | 1396418745
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Entity Type | Individual
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Provider Name | JAYSON SINGLETARY MSN, ACNPC-AG
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Gender | Male
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Dates
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Enumeration Date | 07/30/2021
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Last Update Date | 07/30/2021
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Provider Practice Location Address
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Address Line | 2221 AVENUE J
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City | ARLINGTON
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State | TX
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Zip | 76006-5867
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Country | US
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Telephone | 817-635-6081
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Fax |
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Provider Business Mailing Address
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Address Line | 213 SPRINGHILL DR
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City | HURST
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State | TX
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Zip | 76054-2212
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Country | US
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Telephone | 228-547-8282
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1047006
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License Number State | TX
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