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General NPI Number Information
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NPI Number | 1902064017
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Entity Type | Individual
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Provider Name | JENNIFER M SINGLER M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/26/2008
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Last Update Date | 11/13/2012
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Provider Practice Location Address
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Address Line | 1411 E 31ST ST K6 PEDIATRIC CLINIC
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City | OAKLAND
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State | CA
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Zip | 94602-1018
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Country | US
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Telephone | 510-437-4887
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Fax |
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Provider Business Mailing Address
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Address Line | 490 GRAND AVE SUITE #120
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City | OAKLAND
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State | CA
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Zip | 94610-5057
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Country | US
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Telephone | 510-645-1164
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A106026
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License Number State | CA
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