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General NPI Number Information
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NPI Number | 1487782983
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Entity Type | Organization
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Legal Business Name | STEVEN C. SPENCER, MD, PA
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 01/19/2012
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Provider Practice Location Address
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Address Line | 701 S FRY RD SUITE 103
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City | KATY
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State | TX
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Zip | 77450-2255
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Country | US
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Telephone | 281-398-4222
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Fax | 281-398-4001
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Provider Business Mailing Address
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Address Line | 701 S FRY RD STE 103
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City | KATY
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State | TX
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Zip | 77450-2245
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Country | US
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Telephone | 281-398-4222
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Fax | 281-398-4001
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEVEN C SPENCER
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Credential | MD
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Telephone | 281-398-4222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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