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General NPI Number Information
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NPI Number | 1134641616
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Entity Type | Individual
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Provider Name | KIMBERLY VERA SPENCE OD
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Gender | Female
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Dates
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Enumeration Date | 07/17/2017
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 274 PLEASANT ST
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City | NORTHAMPTON
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State | MA
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Zip | 01060-3992
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Country | US
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Telephone | 413-584-6616
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Fax |
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Provider Business Mailing Address
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Address Line | 489 BERNARDSTON RD STE 202
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City | GREENFIELD
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State | MA
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Zip | 01301-1239
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Country | US
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Telephone | 413-772-2571
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Fax | 413-772-2266
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5212
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License Number State | MA
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