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General NPI Number Information
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NPI Number | 1508922451
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Entity Type | Organization
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Legal Business Name | STANLEY A. SPATZ, MD, PA
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 03/26/2015
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Provider Practice Location Address
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Address Line | 601 N. FLAMINGO ROAD SUITE 313
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City | PEMBROKE PINES
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State | FL
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Zip | 33028
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Country | US
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Telephone | 954-433-0455
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Fax | 954-433-8771
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Provider Business Mailing Address
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Address Line | 601 N. FLAMINGO ROAD SUITE 313
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City | PEMBROKE PINES
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State | FL
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Zip | 33028
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Country | US
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Telephone | 954-433-0455
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Fax | 954-433-8771
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Authorized Official
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Title or Position | PRESIDENT/PHYSICIAN
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Name | DR. STANLEY A. SPATZ
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Credential | M.D.
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Telephone | 954-433-0455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | ME22546
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 22546
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License Number State | FL
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