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General NPI Number Information
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NPI Number | 1114140985
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Entity Type | Individual
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Provider Name | PETER G. SPENCER PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 48 N PLEASANT ST SUITE 202
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City | AMHERST
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State | MA
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Zip | 01002-1738
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Country | US
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Telephone | 413-253-1766
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Fax | 413-253-4089
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Provider Business Mailing Address
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Address Line | 99 LARKSPUR DR
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City | AMHERST
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State | MA
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Zip | 01002-3440
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Country | US
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Telephone | 413-256-6733
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Fax | 413-253-4089
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4972
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License Number State | MA
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