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General NPI Number Information
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NPI Number | 1679862445
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Entity Type | Individual
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Provider Name | EDYTH SPERA
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Gender | Female
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Dates
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Enumeration Date | 04/01/2011
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Last Update Date | 12/27/2018
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Provider Practice Location Address
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Address Line | 2808 S PICHER AVE
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City | JOPLIN
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State | MO
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Zip | 64804-1645
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Country | US
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Telephone | 417-347-7850
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Fax | 417-347-7259
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Provider Business Mailing Address
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Address Line | PO BOX 2526
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City | JOPLIN
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State | MO
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Zip | 64803-2526
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Country | US
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Telephone | 417-347-7850
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Fax | 417-347-7259
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 2013044241
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License Number State | MO
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