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General NPI Number Information
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NPI Number | 1316058183
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Entity Type | Organization
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Legal Business Name | SPENCER GYNECOLOGY PA
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 03/13/2008
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Provider Practice Location Address
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Address Line | 4958 SW 7TH AVENUE RD
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City | OCALA
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State | FL
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Zip | 34471-7472
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Country | US
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Telephone | 352-843-1268
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Fax | 352-861-8223
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Provider Business Mailing Address
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Address Line | 4958 SW 7TH AVENUE RD
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City | OCALA
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State | FL
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Zip | 34471-7472
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Country | US
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Telephone | 352-843-1268
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Fax | 352-861-8223
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Authorized Official
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Title or Position | OWNER
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Name | DR. RONALD PAUL SPENCER
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Credential | M.D.
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Telephone | 352-843-1268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | ME43528
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License Number State | FL
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