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General NPI Number Information
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NPI Number | 1821027442
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Entity Type | Individual
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Provider Name | STANSTON D'ANDREA SPENCE M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 777 CLEVELAND AVE SW SUITE 305
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City | ATLANTA
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State | GA
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Zip | 30315-7129
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Country | US
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Telephone | 404-761-7482
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Fax | 404-761-8398
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Provider Business Mailing Address
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Address Line | 777 CLEVELAND AVE SW SUITE 305
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City | ATLANTA
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State | GA
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Zip | 30315-7129
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Country | US
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Telephone | 404-761-7482
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Fax | 404-761-8398
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 032474
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 032474
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | 032474
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License Number State | GA
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