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General NPI Number Information
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NPI Number | 1528128972
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Entity Type | Individual
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Provider Name | JODI L. SPETH D.O.
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Gender | Female
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 4494 NORTH PALMER ROAD
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City | BETHESDA
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State | MD
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Zip | 20889-5285
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Country | US
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Telephone | 301-319-2711
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Fax |
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Provider Business Mailing Address
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Address Line | 4494 NORTH PALMER ROAD
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City | BETHESDA
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State | MD
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Zip | 20889-0001
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Country | US
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Telephone |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 20A9686
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License Number State | CA
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