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General NPI Number Information
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NPI Number | 1386087062
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Entity Type | Individual
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Provider Name | JESSICA BROOKE SPIEGELMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/11/2013
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Last Update Date | 04/02/2021
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Provider Practice Location Address
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Address Line | 150 E 32ND ST FL 1
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City | NEW YORK
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State | NY
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Zip | 10016-6058
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Country | US
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Telephone | 201-314-9472
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Fax |
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Provider Business Mailing Address
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Address Line | 333 E 79TH ST APT 2M
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City | NEW YORK
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State | NY
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Zip | 10075-0957
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Country | US
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Telephone | 201-314-9472
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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 | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 288879-1
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License Number State | NY
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