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General NPI Number Information
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NPI Number | 1255645792
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Entity Type | Individual
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Provider Name | ANDREA J SPELLMAN D.O.
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Gender | Female
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Dates
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Enumeration Date | 07/26/2010
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Last Update Date | 07/08/2016
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Provider Practice Location Address
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Address Line | 950 S PINE ISLAND RD SUITE A180
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City | PLANTATION
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State | FL
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Zip | 33324-3918
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Country | US
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Telephone | 954-587-4218
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Fax | 954-587-4219
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Provider Business Mailing Address
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Address Line | 900 NW 13TH ST SUITE 206
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City | BOCA RATON
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State | FL
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Zip | 33486-2335
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Country | US
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Telephone | 561-338-3267
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Fax | 561-391-4420
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | OS13346
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License Number State | FL
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