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General NPI Number Information
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NPI Number | 1851510242
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Entity Type | Individual
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Provider Name | GARY STEVEN SPICHER F.A.C.T.
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Gender | Male
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4500 CALIFORNIA AVE STE 100
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City | BAKERSFIELD
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State | CA
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Zip | 93309-7030
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Country | US
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Telephone | 661-326-0485
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Fax | 661-326-1455
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Provider Business Mailing Address
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Address Line | 502 BEARDSLEY AVE APT E
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City | BAKERSFIELD
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State | CA
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Zip | 93308-8013
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Country | US
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Telephone | 661-326-0485
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Fax | 661-326-1455
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | CA
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