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General NPI Number Information
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NPI Number | 1467985135
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Entity Type | Individual
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Provider Name | JOSHUA DOVID SPIEGEL MD, MPH
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Gender | Male
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Dates
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Enumeration Date | 04/09/2017
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Last Update Date | 04/06/2023
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Provider Practice Location Address
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Address Line | 550 S JACKSON ST FL 2
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City | LOUISVILLE
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State | KY
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Zip | 40202-1622
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Country | US
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Telephone | 502-852-6880
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Fax |
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Provider Business Mailing Address
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Address Line | 222 E WITHERSPOON ST UNIT 1102
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City | LOUISVILLE
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State | KY
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Zip | 40202-6311
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Country | US
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Telephone | 308-834-5393
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME144962
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 57139
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 57139
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License Number State | KY
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