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NPI 1699636712

NPI 1699636712 : KAY PAPARELLA-SPEARS : LAUDERDALE BY THE SEA, FL

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General NPI Number Information
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    NPI Number           |    1699636712
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    Entity Type          |    Individual 
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    Provider Name        |    KAY PAPARELLA-SPEARS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/19/2025
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    Last Update Date     |    11/19/2025
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Provider Practice Location Address
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    Address Line         |    242 NEPTUNE AVE 
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    City                 |    LAUDERDALE BY THE SEA
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    State                |    FL
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    Zip                  |    33308-4409
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    Country              |    US
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    Telephone            |    210-764-2121
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    242 NEPTUNE AVE 
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    City                 |    LAUDERDALE BY THE SEA
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    State                |    FL
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    Zip                  |    33308-4409
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    Country              |    US
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    Telephone            |    
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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        |    133N00000X
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    Taxonomy Name        |    Nutritionist
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    License Number       |    3819
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    License Number State |    TX
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