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General NPI Number Information
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NPI Number | 1609847698
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Entity Type | Individual
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Provider Name | SCOTT J SPILLMANN MD, MPH
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Gender | Male
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 10/06/2020
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Provider Practice Location Address
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Address Line | 326 TAYLOR DR
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City | DANVILLE
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State | VA
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Zip | 24541-4188
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Country | US
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Telephone | 347-669-8574
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1481
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City | YANCEYVILLE
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State | NC
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Zip | 27379-1481
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Country | US
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Telephone | 336-337-3297
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 38697
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number | 38697
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License Number State | NC
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