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General NPI Number Information
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NPI Number | 1356306344
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Entity Type | Individual
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Provider Name | JAMES DEAN SPERTZEL DC
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Gender | Male
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 23 N MAIN ST CHIROPRACTIC FITNESS CLINIC
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City | BIGLERVILLE
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State | PA
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Zip | 17307-9228
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Country | US
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Telephone | 717-677-6036
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Fax | 717-677-9503
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Provider Business Mailing Address
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Address Line | 23 N MAIN ST PO BOX 293 CHIROPRACTIC FITNESS CLINIC
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City | BIGLERVILLE
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State | PA
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Zip | 17307-9228
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Country | US
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Telephone | 717-677-6036
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Fax | 717-677-9503
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC002642L
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License Number State | PA
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