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General NPI Number Information
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NPI Number | 1275173593
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Entity Type | Organization
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Legal Business Name | MICHAEL C SPECK MD PA
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Dates
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Enumeration Date | 01/14/2020
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Last Update Date | 03/11/2022
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Provider Practice Location Address
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Address Line | 1892 W US HIGHWAY 290
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City | FREDERICKSBURG
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State | TX
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Zip | 78624-6644
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Country | US
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Telephone | 830-304-1666
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Fax | 830-304-1665
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Provider Business Mailing Address
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Address Line | 1892 W US HWY 290
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City | FREDERICKSBURG
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State | TX
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Zip | 78624-6644
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Country | US
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Telephone | 830-304-1666
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Fax | 830-304-1665
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL CHRISTOPHER SPECK
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Credential | MD
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Telephone | 830-304-1666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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