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General NPI Number Information
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NPI Number | 1386884492
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Entity Type | Individual
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Provider Name | ANDREW MARSHALL SPEER M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/02/2009
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Last Update Date | 03/02/2009
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Provider Practice Location Address
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Address Line | 4804 MONTGOMERY LN
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City | BETHESDA
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State | MD
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Zip | 20814-5302
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Country | US
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Telephone | 301-633-9228
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Fax |
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Provider Business Mailing Address
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Address Line | 39 CARONA CT
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City | SILVER SPRING
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State | MD
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Zip | 20905-7447
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Country | US
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Telephone | 301-633-9228
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D0059147
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License Number State | MD
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