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General NPI Number Information
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NPI Number | 1932188109
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Entity Type | Individual
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Provider Name | SUSAN E SPIRES MD
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Gender | Female
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Dates
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Enumeration Date | 01/16/2006
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Last Update Date | 06/05/2008
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Provider Practice Location Address
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Address Line | 310 S LIMESTONE
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City | LEXINGTON
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State | KY
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Zip | 40508-3008
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Country | US
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Telephone | 859-226-7094
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Fax | 859-226-7859
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Provider Business Mailing Address
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Address Line | 2560 N SHADELAND AVE SUITE A
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-1706
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Country | US
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Telephone | 317-275-8072
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Fax | 317-275-8018
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 19036
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License Number State | KY
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