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General NPI Number Information
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NPI Number | 1003011891
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Entity Type | Individual
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Provider Name | ETAN B SPIRA M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/20/2007
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Last Update Date | 02/13/2015
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Provider Practice Location Address
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Address Line | 5 FRANKLIN AVE SUITE 109
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City | BELLEVILLE
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State | NJ
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Zip | 07109-3532
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Country | US
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Telephone | 973-759-7240
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Fax | 973-759-7243
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Provider Business Mailing Address
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Address Line | 5 FRANKLIN AVE SUITE 109
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City | BELLEVILLE
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State | NJ
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Zip | 07109-3532
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Country | US
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Telephone | 973-759-7240
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Fax | 973-759-7243
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 25MA09471300
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License Number State | NJ
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