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General NPI Number Information
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NPI Number | 1003839143
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Entity Type | Organization
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Legal Business Name | ALEXANDER SPASIC MD FAMILY MEDICINE LLC
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 04/30/2008
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Provider Practice Location Address
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Address Line | 419 VILLAGE DR
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City | CARLISLE
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State | PA
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Zip | 17015-6943
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Country | US
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Telephone | 717-258-0099
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Fax | 717-258-0085
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Provider Business Mailing Address
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Address Line | 419 VILLAGE DR SUITE 6
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City | CARLISLE
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State | PA
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Zip | 17015-6943
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Country | US
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Telephone | 717-258-0099
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Fax | 717-258-0085
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ALEXANDER SPASIC
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Credential | M.D.
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Telephone | 717-258-0099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD064529L
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License Number State | PA
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