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General NPI Number Information
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NPI Number | 1396970984
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Entity Type | Individual
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Provider Name | ANTHONY J SPINELLI D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/26/2009
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Last Update Date | 07/29/2014
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Provider Practice Location Address
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Address Line | 105 W HARTSDALE AVE
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City | HARTSDALE
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State | NY
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Zip | 10530-1618
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Country | US
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Telephone | 914-843-7376
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Fax |
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Provider Business Mailing Address
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Address Line | 1307 N 43RD ST APT. 408
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City | SEATTLE
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State | WA
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Zip | 98103-7566
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Country | US
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Telephone | 914-843-7376
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 051687
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License Number State | NY
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