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General NPI Number Information
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NPI Number | 1558354084
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Entity Type | Individual
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Provider Name | MARK A SPENCER D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/30/2005
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Last Update Date | 07/19/2020
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Provider Practice Location Address
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Address Line | 1335 US HIGHWAY 68
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City | MAYSVILLE
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State | KY
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Zip | 41056-9132
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Country | US
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Telephone | 606-564-4213
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Fax | 606-564-4406
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Provider Business Mailing Address
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Address Line | 103 DUNN CIR
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City | GEORGETOWN
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State | KY
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Zip | 40324-8796
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Country | US
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Telephone | 727-644-4064
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Fax | 502-212-4334
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 9819
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2916
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 250032
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License Number State | KY
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