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General NPI Number Information
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NPI Number | 1861671745
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Entity Type | Organization
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Legal Business Name | SPENCER J. MARKOWITZ, M.D., P.C.
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Dates
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Enumeration Date | 10/29/2007
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Last Update Date | 10/29/2007
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Provider Practice Location Address
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Address Line | 830 CEDAR PKWY
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City | SCHERERVILLE
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State | IN
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Zip | 46375-1200
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Country | US
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Telephone | 219-864-1212
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Fax | 219-864-1414
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Provider Business Mailing Address
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Address Line | 830 CEDAR PKWY
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City | SCHERERVILLE
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State | IN
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Zip | 46375-1200
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Country | US
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Telephone | 219-864-1212
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Fax | 219-864-1414
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SPENCER JOEL MARKOWITZ
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Credential | M.D.
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Telephone | 219-864-1212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 50004684A
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License Number State | IN
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