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General NPI Number Information
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NPI Number | 1063917839
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Entity Type | Individual
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Provider Name | SANJAE ARKAL SPENCER MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2018
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 700 W OAK ST
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City | KISSIMMEE
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State | FL
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Zip | 34741-4924
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Country | US
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Telephone | 407-846-2266
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Fax |
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Provider Business Mailing Address
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Address Line | 700 W OAK ST
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City | KISSIMMEE
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State | FL
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Zip | 34741-4924
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Country | US
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Telephone | 407-846-2266
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME146678
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | ME146678
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License Number State | FL
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