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General NPI Number Information
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NPI Number | 1598708398
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Entity Type | Individual
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Provider Name | DOUGLAS M SPAETH MD
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Gender | Male
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 265 BROOKVIEW CENTRE WAY STE 400
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City | KNOXVILLE
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State | TN
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Zip | 37919-4052
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Country | US
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Telephone | 800-342-2898
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Fax |
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Provider Business Mailing Address
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Address Line | 362 S HARDING RD
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City | COLUMBUS
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State | OH
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Zip | 43209-1949
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Country | US
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Telephone | 614-657-3422
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35062563S
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 57754.
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License Number State | AZ
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