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General NPI Number Information
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NPI Number | 1760745830
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Entity Type | Organization
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Legal Business Name | DAVID E SPERBER, M.D.
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Dates
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Enumeration Date | 06/22/2012
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Last Update Date | 06/22/2012
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Provider Practice Location Address
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Address Line | 113 S JENSEN RD
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City | VESTAL
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State | NY
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Zip | 13850-2821
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Country | US
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Telephone | 607-770-9000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 365
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City | VESTAL
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State | NY
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Zip | 13851-0365
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Country | US
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Telephone | 607-770-9000
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Fax | 607-770-1637
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID E SPERBER
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Credential | M.D.
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Telephone | 607-770-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 177414-1
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License Number State | NY
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