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General NPI Number Information
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NPI Number | 1063688059
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Entity Type | Individual
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Provider Name | SANDRA-LEIGH SPRECKER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 04/30/2008
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Last Update Date | 04/30/2008
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Provider Practice Location Address
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Address Line | 449 DODGE HOLLOW RD
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City | LEMPSTER
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State | NH
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Zip | 03605-3417
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Country | US
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Telephone | 603-863-7292
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Fax |
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Provider Business Mailing Address
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Address Line | 449 DODGE HOLLOW RD
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City | LEMPSTER
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State | NH
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Zip | 03605-3417
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Country | US
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Telephone | 603-863-7292
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Fax |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 972
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 972
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 61047
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License Number State | NH
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 972
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License Number State | NH
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