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General NPI Number Information
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NPI Number | 1669637401
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Entity Type | Organization
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Legal Business Name | DR SPEARMAN, M.D., P.C.
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Dates
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Enumeration Date | 07/21/2008
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Last Update Date | 07/21/2008
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Provider Practice Location Address
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Address Line | 820 SAINT SEBASTIAN WAY SUITE 6 D
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City | AUGUSTA
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State | GA
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Zip | 30901-2643
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Country | US
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Telephone | 706-038-8611
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Fax | 706-739-0051
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Provider Business Mailing Address
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Address Line | 820 SAINT SEBASTIAN WAY SUITE 6 D
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City | AUGUSTA
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State | GA
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Zip | 30901-2643
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Country | US
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Telephone | 706-038-8611
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Fax | 706-739-0051
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. DAVID R. SPEARMAN
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Credential | M.D.
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Telephone | 706-738-8611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 17310
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License Number State | GA
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