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General NPI Number Information
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NPI Number | 1881852382
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Entity Type | Individual
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Provider Name | REBECCA JEAN SPIETH LMP
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Gender | Female
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Dates
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Enumeration Date | 05/30/2008
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Last Update Date | 03/07/2011
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Provider Practice Location Address
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Address Line | 3894 SE CASTLEWOOD DRIVE
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City | PORT ORCHARD
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State | WA
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Zip | 98366-2229
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Country | US
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Telephone | 360-271-9503
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Fax | 360-769-5953
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Provider Business Mailing Address
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Address Line | 1950 POTTERY AVENUE SUITE 18
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City | PORT ORCHARD
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State | WA
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Zip | 98366
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Country | US
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Telephone | 360-271-9503
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Fax | 360-769-5953
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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