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General NPI Number Information
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NPI Number | 1497871461
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Entity Type | Organization
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Legal Business Name | MARK J SINGER, MD, LCSW
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 605 TWINRIDGE LN
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City | RICHMOND
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State | VA
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Zip | 23235-5268
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Country | US
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Telephone | 804-330-0816
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Fax |
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Provider Business Mailing Address
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Address Line | 3200 SAINT MARTINS TRL APT 1111
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City | RICHMOND
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State | VA
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Zip | 23294-4919
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Country | US
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Telephone | 804-615-8565
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Fax | 804-330-8007
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARK J SINGER
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Credential | MD, LCSW
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Telephone | 804-330-0816
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 0904000716
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0904000716
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License Number State | VA
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