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General NPI Number Information
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NPI Number | 1285699561
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Entity Type | Individual
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Provider Name | XIOMARA E. SPENCE PHARM. D
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Gender | Female
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 651 WILLOW GROVE ST
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City | HACKETTSTOWN
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State | NJ
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Zip | 07840-1799
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Country | US
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Telephone | 908-850-6916
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Fax |
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Provider Business Mailing Address
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Address Line | 49 HEDDEN RD
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City | ANDOVER
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State | NJ
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Zip | 07821-2303
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Country | US
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Telephone | 908-813-0974
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI01719400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2218
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License Number State | PR
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