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General NPI Number Information
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NPI Number | 1487320651
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Entity Type | Individual
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Provider Name | GLORIA SPENCE
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Gender | Female
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Dates
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Enumeration Date | 08/18/2021
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Last Update Date | 08/18/2021
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Provider Practice Location Address
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Address Line | 6600 NW 27TH AVE STE 7
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City | MIAMI
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State | FL
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Zip | 33147-7220
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Country | US
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Telephone | 305-900-9619
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Fax |
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Provider Business Mailing Address
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Address Line | 1838 NW 57TH ST
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City | MIAMI
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State | FL
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Zip | 33142-3056
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Country | US
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Telephone | 786-525-7669
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 8983
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License Number State | FL
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