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General NPI Number Information
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NPI Number | 1881604684
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Entity Type | Individual
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Provider Name | ROBERT MICHAEL SPAULDING D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 04/16/2009
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Provider Practice Location Address
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Address Line | 1279 E 1ST AVE STE B
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City | CHICO
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State | CA
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Zip | 95926-1542
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Country | US
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Telephone | 530-343-3250
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Fax | 530-343-2962
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Provider Business Mailing Address
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Address Line | 2535 CEANOTHUS AVE SUITE 128
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City | CHICO
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State | CA
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Zip | 95973-7722
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Country | US
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Telephone | 530-343-3250
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Fax | 530-343-2962
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30119
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License Number State | CA
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