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General NPI Number Information
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NPI Number | 1205168556
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Entity Type | Individual
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Provider Name | ROBERT JOHN SPANO FNP-C APRN
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Gender | Male
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Dates
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Enumeration Date | 02/10/2010
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Last Update Date | 04/07/2020
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Provider Practice Location Address
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Address Line | 36 THOMPSON AVE
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City | WHITE PLAINS
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State | NY
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Zip | 10603-7540
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Country | US
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Telephone | 914-438-4801
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Fax |
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Provider Business Mailing Address
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Address Line | 36 THOMPSON AVE
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City | WHITE PLAINS
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State | NY
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Zip | 10603-3313
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Country | US
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Telephone | 914-438-4801
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Fax |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 548615-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 083434
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 12.006746
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 33-341065
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License Number State | NY
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