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General NPI Number Information
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NPI Number | 1215955455
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Entity Type | Individual
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Provider Name | THOMAS SPIRO M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 09/17/2010
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Provider Practice Location Address
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Address Line | 1035 BELLEVUE AVE SUITE 305
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City | SAINT LOUIS
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State | MO
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Zip | 63117-1854
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Country | US
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Telephone | 314-925-4700
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Fax | 314-925-4750
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Provider Business Mailing Address
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Address Line | 10777 SUNSET OFFICE DR SUITE 310
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City | SAINT LOUIS
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State | MO
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Zip | 63127-1019
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Country | US
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Telephone | 314-822-5900
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Fax | 314-822-5919
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MDR4E45
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License Number State | MO
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