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General NPI Number Information
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NPI Number | 1770505257
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Entity Type | Individual
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Provider Name | BRIAN KEITH SINGLETARY D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 1740 ROBERT ST S STE 110
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City | WEST ST PAUL
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State | MN
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Zip | 55118-3771
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Country | US
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Telephone | 651-347-1252
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Fax |
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Provider Business Mailing Address
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Address Line | 475 PRESERVE CT
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City | LITTLE CANADA
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State | MN
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Zip | 55117-4676
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Country | US
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Telephone | 860-983-1031
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Fax | 651-765-1830
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | FF42
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 042440
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D13506
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License Number State | MN
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