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NPI 1568028553

NPI 1568028553 : DAVID WAYNE SINGLETON LMSW : BILOXI, MS

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General NPI Number Information
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    NPI Number           |    1568028553
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID WAYNE SINGLETON LMSW
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/15/2019
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    Last Update Date     |    05/15/2019
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Provider Practice Location Address
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    Address Line         |    400 VETERANS AVE # 25-2 
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    City                 |    BILOXI
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    State                |    MS
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    Zip                  |    39531-2410
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    Country              |    US
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    Telephone            |    228-523-5787
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    Fax                  |    228-523-5820
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Provider Business Mailing Address
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    Address Line         |    14945 GREENWELL CIR 
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    City                 |    BILOXI
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    State                |    MS
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    Zip                  |    39532-8396
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    Country              |    US
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    Telephone            |    228-229-5081
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    4055G
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    License Number State |    AL
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Taxonomy #2
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    M8848
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    License Number State |    MS
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