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General NPI Number Information
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NPI Number | 1023274354
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Entity Type | Individual
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Provider Name | JAMES FLETCHER SPANN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/06/2008
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 812 ROBERT E LEE BLVD
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City | CHARLESTON
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State | SC
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Zip | 29412-9134
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Country | US
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Telephone | 843-870-8736
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Fax | 886-482-9782
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Provider Business Mailing Address
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Address Line | 812 ROBERT E LEE BLVD
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City | CHARLESTON
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State | SC
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Zip | 29412-9134
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Country | US
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Telephone | 843-870-8736
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Fax | 886-482-9782
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD12591
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License Number State | SC
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