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General NPI Number Information
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NPI Number | 1760675730
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Entity Type | Organization
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Legal Business Name | JOSEPH F. SPERA, D.M.D., P.A.
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Dates
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Enumeration Date | 08/23/2007
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Last Update Date | 09/27/2007
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Provider Practice Location Address
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Address Line | 2101 FOULK RD
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City | WILMINGTON
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State | DE
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Zip | 19810-4710
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Country | US
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Telephone | 302-475-1122
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Fax | 302-475-1151
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Provider Business Mailing Address
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Address Line | 2101 FOULK RD
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City | WILMINGTON
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State | DE
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Zip | 19810-4710
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Country | US
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Telephone | 302-475-1122
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Fax | 302-475-1151
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH F SPERA
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Credential | D.M.D.
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Telephone | 302-475-1122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | G-1-001158
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License Number State | DE
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