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General NPI Number Information
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NPI Number | 1669760344
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Entity Type | Organization
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Legal Business Name | TAMARA SINGLETON, MD INC.
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Dates
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Enumeration Date | 07/15/2011
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Last Update Date | 10/08/2019
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Provider Practice Location Address
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Address Line | 1167A HWY 554
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City | EL RITO
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State | NM
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Zip | 87530
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Country | US
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Telephone | 575-581-0033
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Fax | 575-581-0034
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Provider Business Mailing Address
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Address Line | PO BOX 805
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City | EL RITO
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State | NM
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Zip | 87530-0805
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Country | US
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Telephone | 575-581-0033
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Fax | 575-581-0034
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. TAMARA ALYNN SINGLETON
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Credential | M.D.
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Telephone | 575-581-0033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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