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General NPI Number Information
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NPI Number | 1386987204
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Entity Type | Individual
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Provider Name | CHRISTOPHER SPENCER GOOD PA
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Gender | Male
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Dates
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Enumeration Date | 03/28/2013
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Last Update Date | 03/08/2023
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Provider Practice Location Address
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Address Line | MARINERS HOSPITAL 91500 OVERSEAS HIGHWAY
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City | TAVERNIER
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State | FL
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Zip | 33070
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Country | US
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Telephone | 305-434-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 171 GERMAN HILL RD
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City | TUNKHANNOCK
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State | PA
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Zip | 18657-5747
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Country | US
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Telephone | 570-406-0503
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA2019-0047
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA1931
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License Number State | ME
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA002749L
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 56858
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-11617
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License Number State | NC
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Taxonomy #7
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9115219
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License Number State | FL
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