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General NPI Number Information
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NPI Number | 1134766835
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Entity Type | Organization
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Legal Business Name | THE SPEC SPOT, LLC.
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Dates
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Enumeration Date | 12/02/2019
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 7087 WEST BLVD STE 4
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-4335
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Country | US
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Telephone | 330-758-0767
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Fax | 330-758-8849
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Provider Business Mailing Address
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Address Line | 7087 WEST BLVD STE 4
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-4335
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Country | US
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Telephone | 330-758-0767
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Fax | 330-758-8849
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MAUREEN MATTHEWS
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Credential | M.D.
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Telephone | 330-758-8183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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