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General NPI Number Information
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NPI Number | 1831285089
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Entity Type | Individual
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Provider Name | DONNIE R SPENCER MD
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Gender | Male
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 03/08/2010
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Provider Practice Location Address
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Address Line | 1032 DAWAHARE DR
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City | HAZARD
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State | KY
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Zip | 41701-8937
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Country | US
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Telephone | 606-439-3311
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Fax | 606-436-5155
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Provider Business Mailing Address
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Address Line | 870 CORPORATE DR SUITE 400
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City | LEXINGTON
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State | KY
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Zip | 40503-5416
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Country | US
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Telephone | 859-277-9436
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Fax | 859-977-0092
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 18056
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License Number State | KY
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