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General NPI Number Information
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NPI Number | 1871525923
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Entity Type | Individual
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Provider Name | JAMES WILLIAM SPENCE JR. PT
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5874 VETERANS WAY
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City | BURLINGTON
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State | KY
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Zip | 41005-8824
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Country | US
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Telephone | 859-334-4331
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Fax | 859-586-1798
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Provider Business Mailing Address
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Address Line | PO BOX 911148
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City | LEXINGTON
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State | KY
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Zip | 40591-1148
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Country | US
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Telephone | 859-278-2121
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Fax | 859-276-2795
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 000433
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License Number State | KY
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