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General NPI Number Information
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NPI Number | 1366641235
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Entity Type | Organization
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Legal Business Name | DAVID SPEISER M.D.,P.C.
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 12/12/2011
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Provider Practice Location Address
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Address Line | 227 NASSAU BLVD
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2219
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Country | US
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Telephone | 516-599-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 227 NASSAU BLVD
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2219
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Country | US
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Telephone | 516-599-3333
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DAVID SPEISER
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Credential | M.D.
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Telephone | 516-599-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 201937-1
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License Number State | NY
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