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General NPI Number Information
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NPI Number | 1831768480
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Entity Type | Individual
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Provider Name | DEVIN SPEIGHT OD
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Gender | Male
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Dates
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Enumeration Date | 06/18/2021
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Last Update Date | 06/18/2021
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Provider Practice Location Address
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Address Line | 3201 S DALE MABRY HWY STE 105
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City | TAMPA
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State | FL
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Zip | 33629-7800
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Country | US
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Telephone | 813-832-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 3913 W OBISPO ST
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City | TAMPA
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State | FL
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Zip | 33629-7829
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Country | US
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Telephone |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5934
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License Number State | FL
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