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General NPI Number Information
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NPI Number | 1437348950
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Entity Type | Individual
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Provider Name | PHILEMON THEOLOGOS SPENCER M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/21/2007
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Last Update Date | 10/27/2023
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Provider Practice Location Address
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Address Line | 610 N ALMA SCHOOL RD STE 48
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City | CHANDLER
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State | AZ
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Zip | 85224-3689
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Country | US
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Telephone | 480-248-2440
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Fax | 855-551-4501
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Provider Business Mailing Address
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Address Line | 610 N ALMA SCHOOL RD STE 48
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City | CHANDLER
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State | AZ
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Zip | 85224-3689
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Country | US
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Telephone | 480-248-2440
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Fax | 855-551-4501
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 54349
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 54349
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 29845
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License Number State | AL
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