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General NPI Number Information
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NPI Number | 1477431120
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Entity Type | Individual
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Provider Name | DR. GEORGE PATRICK SPELLMAN JR.
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Gender | Male
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 805 SE 3RD AVE STE 2
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-1193
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Country | US
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Telephone | 954-256-9052
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Fax |
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Provider Business Mailing Address
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Address Line | 10940 SW 227TH TER
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City | MIAMI
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State | FL
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Zip | 33170-6565
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Country | US
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Telephone | 305-975-1915
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 43337
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License Number State | FL
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