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General NPI Number Information
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NPI Number | 1902889884
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Entity Type | Organization
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Legal Business Name | RICHARD C SPINALE DO PC
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 09/18/2007
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Provider Practice Location Address
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Address Line | 6255 INKSTER RD SUITE 207
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City | GARDEN CITY
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State | MI
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Zip | 48135-2577
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Country | US
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Telephone | 734-427-6570
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Fax | 734-427-6140
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Provider Business Mailing Address
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Address Line | 6255 INKSTER RD SUITE 207
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City | GARDEN CITY
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State | MI
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Zip | 48135-2577
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Country | US
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Telephone | 734-427-6570
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Fax | 734-427-6140
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Authorized Official
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Title or Position | GENERAL SURGEON
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Name | DR. RICHARD C SPINALE
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Credential | DO
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Telephone | 734-427-6520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 009110
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License Number State | MI
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