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General NPI Number Information
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NPI Number | 1609439561
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Entity Type | Individual
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Provider Name | ANDREW SPAEDY MD
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Gender | Male
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Dates
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Enumeration Date | 04/17/2019
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 2701 NW 2ND AVE STE 118
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City | BOCA RATON
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State | FL
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Zip | 33431-6707
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Country | US
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Telephone | 954-501-0054
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Fax | 561-769-3598
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Provider Business Mailing Address
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Address Line | 2701 NW 2ND AVE STE 118
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City | BOCA RATON
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State | FL
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Zip | 33431-6707
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Country | US
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Telephone | 561-556-8276
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Fax | 561-769-3598
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | ME167278
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME167278
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License Number State | FL
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