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General NPI Number Information
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NPI Number | 1558047787
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Entity Type | Individual
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Provider Name | ROBERT DAN SPIELMAN DDS
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Gender | Male
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Dates
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Enumeration Date | 06/22/2023
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Last Update Date | 01/18/2025
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Provider Practice Location Address
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Address Line | 2202 SULLIVAN TRL
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City | EASTON
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State | PA
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Zip | 18040-7901
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Country | US
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Telephone | 610-810-3511
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Fax |
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Provider Business Mailing Address
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Address Line | 110 WASHINGTON ST APT 512A
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City | BLOOMFIELD
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State | NJ
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Zip | 07003-5349
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Country | US
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Telephone | 415-690-3630
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS044936
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 22DI03066500
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License Number State | NJ
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