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General NPI Number Information
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NPI Number | 1659619302
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Entity Type | Individual
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Provider Name | KATHLEEN A SPREEN D.O.
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Gender | Female
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Dates
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Enumeration Date | 01/30/2013
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Last Update Date | 01/30/2013
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Provider Practice Location Address
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Address Line | 449 CHAMBERS LN
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City | WEST CHESTER
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State | PA
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Zip | 19382-6949
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Country | US
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Telephone | 610-888-9522
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Fax |
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Provider Business Mailing Address
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Address Line | 449 CHAMBERS LN
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City | WEST CHESTER
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State | PA
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Zip | 19382-6949
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Country | US
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Telephone | 610-888-9522
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | C2002486
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License Number State | DE
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