{
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GAYLE E. SINGER, L.C.S.W., INC",
"LastName": null,
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"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "337 SOUTH BEVERLY DRIVE",
"SecondLineMailingAddress": "SUITE #103",
"MailingAddressCityName": "BEVERLY HILLS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90212",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "310-271-4749",
"MailingAddressFaxNumber": "310-271-3551",
"FirstLinePracticeLocationAddress": "337 SOUTH BEVERLY DRIVE",
"SecondLinePracticeLocationAddress": "SUITE #103",
"PracticeLocationAddressCityName": "BEVERLY HILLS",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "310-271-4749",
"PracticeLocationAddressFaxNumber": "310-271-3551",
"EnumerationDate": "02/16/2007",
"LastUpdateDate": "09/19/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SINGER",
"AuthorizedOfficialFirstName": "GAYLE",
"AuthorizedOfficialMiddleName": "ELISE",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.S.W., L.C.S.W",
"AuthorizedOfficialTelephoneNumber": "310-614-6329",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "15307",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}