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General NPI Number Information
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NPI Number | 1275464661
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Entity Type | Individual
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Provider Name | SPENCER ST. JAMES
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Gender | Male
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Dates
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Enumeration Date | 05/26/2026
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Last Update Date | 05/26/2026
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Provider Practice Location Address
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Address Line | 10 TECHNOLOGY DR
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City | LOWELL
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State | MA
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Zip | 01851-2728
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Country | US
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Telephone | 833-360-3655
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Fax |
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Provider Business Mailing Address
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Address Line | 35 OAK ST
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City | LOWELL
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State | MA
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Zip | 01852-2734
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Country | US
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Telephone | 978-606-1469
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | MA
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