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General NPI Number Information
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NPI Number | 1639453228
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Entity Type | Individual
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Provider Name | ANTHONY DEQUANN SPEARMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/30/2011
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Last Update Date | 02/16/2024
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Provider Practice Location Address
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Address Line | 23077 GREENFIELD RD STE 156
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City | SOUTHFIELD
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State | MI
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Zip | 48075-3770
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Country | US
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Telephone | 248-572-3252
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Fax | 313-731-1765
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Provider Business Mailing Address
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Address Line | 29155 NORTHWESTERN HWY STE 407
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1011
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Country | US
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Telephone | 248-572-3252
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Fax | 313-731-1765
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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 | 4301099716
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License Number State | MI
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