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General NPI Number Information
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NPI Number | 1558364505
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Entity Type | Individual
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Provider Name | ANDREW SPINAK M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 10/07/2016
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Provider Practice Location Address
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Address Line | 169 N MIDDLETOWN RD
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City | PEARL RIVER
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State | NY
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Zip | 10965-2029
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Country | US
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Telephone | 845-735-5666
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Fax | 845-735-5673
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Provider Business Mailing Address
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Address Line | 169 N MIDDLETOWN RD
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City | PEARL RIVER
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State | NY
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Zip | 10965-2029
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Country | US
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Telephone | 845-735-5666
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Fax | 845-735-5673
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 185039-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 185039-1
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License Number State | NY
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