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General NPI Number Information
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NPI Number | 1285619007
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Entity Type | Individual
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Provider Name | RICHARD HARRIS SPECTOR MD
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Gender | Male
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Dates
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Enumeration Date | 12/14/2005
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Last Update Date | 04/06/2017
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Provider Practice Location Address
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Address Line | 4619 PEACH ST
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City | ERIE
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State | PA
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Zip | 16509-2006
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Country | US
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Telephone | 814-868-8505
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Fax | 814-868-8515
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Provider Business Mailing Address
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Address Line | 503 W 1ST ST
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City | OIL CITY
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State | PA
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Zip | 16301-2917
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Country | US
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Telephone | 814-678-3987
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Fax | 814-678-5306
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD067333-L
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License Number State | PA
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