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General NPI Number Information
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NPI Number | 1639886682
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Entity Type | Individual
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Provider Name | HATTIE SINGLETON BCABA
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Gender | Female
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Dates
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Enumeration Date | 10/31/2022
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Last Update Date | 10/31/2022
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Provider Practice Location Address
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Address Line | 66 TIMBEROAK CT
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City | LYNCHBURG
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State | VA
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Zip | 24502-3459
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Country | US
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Telephone | 434-515-0877
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Fax |
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Provider Business Mailing Address
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Address Line | 803 CAMPBELL AVE
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City | ALTAVISTA
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State | VA
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Zip | 24517-1839
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Country | US
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Telephone | 434-941-1100
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0134000350
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License Number State | VA
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