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General NPI Number Information
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NPI Number | 1659589125
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Entity Type | Individual
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Provider Name | MRS. SUSAN ELIZABETH SPENCER
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Gender | Female
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 777 E GIRARD SUITE 250
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City | ENGLEWOOD
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State | CO
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Zip | 80113
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Country | US
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Telephone | 720-214-2549
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Fax | 303-744-7876
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Provider Business Mailing Address
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Address Line | 3124 W 64TH AVE
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City | ANCHORAGE
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State | AK
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Zip | 99502-2107
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Country | US
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Telephone | 907-230-0788
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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 | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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License Number | 246ZE00
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License Number State | CO
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