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General NPI Number Information
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NPI Number | 1922052836
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Entity Type | Individual
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Provider Name | GREGORY MICHAEL SINGLETON M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 01/29/2013
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Provider Practice Location Address
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Address Line | 401 E CHESTNUT ST #610
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City | LOUISVILLE
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State | KY
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Zip | 40202-5700
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Country | US
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Telephone | 502-813-6627
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Fax | 502-813-6650
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Provider Business Mailing Address
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Address Line | PO BOX 3367
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City | LOUISVILLE
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State | KY
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Zip | 40201-3367
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Country | US
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Telephone | 502-813-6655
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Fax | 502-813-6665
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 40043
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License Number State | KY
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