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General NPI Number Information
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NPI Number | 1558858084
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Entity Type | Individual
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Provider Name | SPENSER ALAN SOLDANO DPM
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Gender | Male
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Dates
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Enumeration Date | 04/19/2018
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 1540 ELLICOTT CREEK RD
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City | TONAWANDA
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State | NY
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Zip | 14150-2935
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Country | US
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Telephone | 716-695-2244
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Fax | 716-695-1073
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Provider Business Mailing Address
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Address Line | 1540 ELLICOTT CREEK RD
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City | TONAWANDA
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State | NY
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Zip | 14150-2935
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Country | US
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Telephone | 716-692-2244
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Fax | 716-695-1073
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 007248
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N007248
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License Number State | NY
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