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General NPI Number Information
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NPI Number | 1457303851
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Entity Type | Organization
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Legal Business Name | SINGLETON HEALTH CENTER, LLC
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 119 BOLTIN AVE
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City | NORTH
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State | SC
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Zip | 29112-8131
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Country | US
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Telephone | 803-247-3900
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Fax | 803-247-3930
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Provider Business Mailing Address
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Address Line | 1773 VILLAGE PARK DR
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City | ORANGEBURG
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State | SC
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Zip | 29118-2475
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Country | US
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Telephone | 803-535-3600
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Fax | 803-534-6300
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | DR. MONNIE SINGLETON
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Credential | MD
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Telephone | 803-535-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 14294
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License Number State | SC
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