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General NPI Number Information
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NPI Number | 1609451954
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Entity Type | Individual
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Provider Name | AMBER REVELL SINGLETARY CRDH
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Gender | Female
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Dates
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Enumeration Date | 03/17/2021
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Last Update Date | 03/17/2021
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Provider Practice Location Address
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Address Line | 1220 NE 36TH AVE
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City | OCALA
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State | FL
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Zip | 34470-4931
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Country | US
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Telephone | 352-732-4847
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Fax |
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Provider Business Mailing Address
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Address Line | 4215 SW 31ST DR UNIT 203
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City | GAINESVILLE
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State | FL
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Zip | 32608-7697
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Country | US
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Telephone | 850-643-7689
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 27904
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License Number State | FL
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