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General NPI Number Information
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NPI Number | 1124209879
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Entity Type | Organization
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Legal Business Name | GARY A SPIEGELMAN MD
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Dates
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Enumeration Date | 11/23/2007
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Last Update Date | 11/23/2007
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Provider Practice Location Address
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Address Line | 9330 PARK WEST BLVD SUITE 307
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City | KNOXVILLE
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State | TN
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Zip | 37923-4308
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Country | US
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Telephone | 865-531-8632
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Fax | 865-531-9874
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Provider Business Mailing Address
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Address Line | PO BOX 30529
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City | KNOXVILLE
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State | TN
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Zip | 37930-0529
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Country | US
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Telephone | 865-531-8632
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Fax | 865-531-9874
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Authorized Official
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Title or Position | OWNER
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Name | GARY ALLEN SPIEGELMAN
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Credential | MD
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Telephone | 865-531-8632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD023743
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License Number State | TN
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