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General NPI Number Information
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NPI Number | 1164723227
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Entity Type | Individual
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Provider Name | SCOTT SPREAT ED.D.
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Gender | Male
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Dates
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Enumeration Date | 11/05/2010
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Last Update Date | 11/05/2010
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Provider Practice Location Address
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Address Line | 3 IMLAYSTOWN HIGHTSTOWN RD
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City | ALLENTOWN
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State | NJ
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Zip | 08501-2011
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Country | US
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Telephone | 609-223-2203
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Fax | 609-223-2204
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Provider Business Mailing Address
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Address Line | 3 IMLAYSTOWN HIGHTSTOWN RD
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City | ALLENTOWN
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State | NJ
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Zip | 08501-2011
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Country | US
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Telephone | 609-223-2203
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Fax | 609-223-2204
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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 | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | PS003491L
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License Number State | PA
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