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General NPI Number Information
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NPI Number | 1669586541
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Entity Type | Individual
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Provider Name | MICHAEL DAVID SPANFELNER O.D.
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Gender | Male
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 01/02/2013
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Provider Practice Location Address
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Address Line | 1550 MYERS ST STE A
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City | OROVILLE
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State | CA
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Zip | 95965-4689
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Country | US
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Telephone | 530-533-6604
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Fax | 530-533-6568
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Provider Business Mailing Address
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Address Line | 1550 MYERS ST STE A
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City | OROVILLE
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State | CA
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Zip | 95965-4689
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Country | US
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Telephone | 530-533-6604
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Fax | 530-533-6568
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 10240T
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License Number State | CA
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