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General NPI Number Information
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NPI Number | 1225221690
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Entity Type | Organization
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Legal Business Name | DR. JFFERY A. SPILMAN DDS
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Dates
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Enumeration Date | 08/20/2007
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Last Update Date | 08/20/2007
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Provider Practice Location Address
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Address Line | 4899 5TH AVE N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33713-7217
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Country | US
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Telephone | 727-321-1427
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Fax | 727-328-1185
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Provider Business Mailing Address
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Address Line | 4899 5TH AVE N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33713-7217
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Country | US
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Telephone | 727-321-1427
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Fax | 727-328-1185
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. JEFFERY ALAN SPILMAN
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Credential | D.D.S.
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Telephone | 727-321-1427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | DN16221
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License Number State | FL
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