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General NPI Number Information
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NPI Number | 1790265536
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Entity Type | Individual
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Provider Name | PROF. PATRICIA WILLIAMS SPELLER
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Gender | Female
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Dates
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Enumeration Date | 08/21/2018
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Last Update Date | 08/21/2018
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Provider Practice Location Address
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Address Line | 595 CLIFF CT
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City | WINTERVILLE
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State | NC
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Zip | 28590-8560
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Country | US
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Telephone | 252-258-2502
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Fax |
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Provider Business Mailing Address
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Address Line | 595 CLIFF CT
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City | WINTERVILLE
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State | NC
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Zip | 28590-8560
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Country | US
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Telephone | 252-258-2502
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 74000841
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License Number State | NC
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