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General NPI Number Information
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NPI Number | 1487961702
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Entity Type | Organization
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Legal Business Name | INTEGRITAS MEDICAL INSTITUTE
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Dates
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Enumeration Date | 09/08/2010
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Last Update Date | 09/08/2010
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Provider Practice Location Address
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Address Line | 201 SIVLEY ROAD SUITE 540
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City | HUNTSVILLE
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State | AL
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Zip | 35801-5138
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Country | US
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Telephone | 256-265-7971
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Fax | 256-265-6756
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Provider Business Mailing Address
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Address Line | 201 SIVLEY ROAD SUITE 540
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City | HUNTSVILLE
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State | AL
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Zip | 35801-5138
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Country | US
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Telephone | 256-265-7971
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Fax | 256-265-6756
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD VICTOR SPERA JR.
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Credential | MD
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Telephone | 256-265-7951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 21563
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License Number State | AL
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