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General NPI Number Information
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NPI Number | 1730233586
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Entity Type | Individual
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Provider Name | ROBERT TIMOTHY SPIRO M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2201 S 19TH ST
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City | TACOMA
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State | WA
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Zip | 98405-2962
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Country | US
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Telephone | 253-272-3056
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Fax |
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Provider Business Mailing Address
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Address Line | 16974 OLYMPIC VIEW RD NW
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City | SILVERDALE
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State | WA
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Zip | 98383-9733
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Country | US
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Telephone | 360-662-8924
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD00047130
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License Number State | WA
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