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General NPI Number Information
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NPI Number | 1003869686
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Entity Type | Individual
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Provider Name | LORI A. SPOOR DO
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Gender | Female
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 1717 COLUMBIA RD NW
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City | WASHINGTON
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State | DC
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Zip | 20009-2803
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Country | US
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Telephone | 202-469-4699
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Fax | 813-254-0230
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Provider Business Mailing Address
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Address Line | 2501 W. KENNEDY BVLD.
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City | TAMPA
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State | FL
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Zip | 33609-2501
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Country | US
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Telephone | 813-844-1385
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Fax | 813-254-0230
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS9996
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO210001812
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License Number State | DC
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