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General NPI Number Information
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NPI Number | 1306003769
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Entity Type | Individual
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Provider Name | EMILY CLAIRE SPEELMON M.D., PH.D.
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Gender | Female
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 05/13/2016
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Provider Practice Location Address
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Address Line | 1520 S MAIN ST STE 2
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City | DAYTON
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State | OH
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Zip | 45409-2643
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Country | US
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Telephone | 937-461-5815
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Fax | 937-461-2896
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Provider Business Mailing Address
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Address Line | 1520 S MAIN ST STE 2
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City | DAYTON
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State | OH
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Zip | 45409-2643
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Country | US
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Telephone | 937-461-5815
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Fax | 937-461-2896
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MD166946
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD166946
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 35-128718
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License Number State | OH
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