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General NPI Number Information
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NPI Number | 1275847378
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Entity Type | Individual
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Provider Name | ROBERT D SPENCER MD
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Gender | Male
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Dates
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Enumeration Date | 07/30/2010
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 454 OLD STREET ROAD SUITE 201
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City | PETERBOROUGH
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State | NH
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Zip | 03458
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Country | US
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Telephone | 603-924-4646
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Fax | 877-673-1404
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Provider Business Mailing Address
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Address Line | 590 COURT ST CARDIOLOGY
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City | KEENE
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State | NH
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Zip | 03431-1719
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Country | US
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Telephone | 603-354-5400
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 17192
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License Number State | NH
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