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General NPI Number Information
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NPI Number | 1740525583
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Entity Type | Organization
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Legal Business Name | MARIO A. SPOTO, D.C., P.C.
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Dates
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Enumeration Date | 12/05/2012
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Last Update Date | 12/05/2012
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Provider Practice Location Address
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Address Line | 305 E LANCASTER AVE
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-5903
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Country | US
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Telephone | 610-269-7662
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Fax | 610-873-1255
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Provider Business Mailing Address
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Address Line | 305 E LANCASTER AVE
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-5903
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Country | US
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Telephone | 610-269-7662
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Fax | 610-873-1255
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. MARIO A. SPOTO
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Credential | D.C., P.C.
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Telephone | 610-269-7662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | DC001967L
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License Number State | PA
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