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General NPI Number Information
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NPI Number | 1275715385
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Entity Type | Individual
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Provider Name | JENNIFER A SPINELLI MPT
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Gender | Female
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 01/13/2010
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Provider Practice Location Address
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Address Line | 6904 E RENO AVE
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City | MIDWEST CITY
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State | OK
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Zip | 73110-2152
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Country | US
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Telephone | 405-610-2488
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Fax | 405-610-2484
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Provider Business Mailing Address
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Address Line | 825 N BROADWAY AVE SUITE 400
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City | OKLAHOMA CITY
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State | OK
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Zip | 73102-6039
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Country | US
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Telephone | 405-609-3670
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Fax | 405-605-8638
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT019048
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License Number State | PA
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