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General NPI Number Information
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NPI Number | 1952313173
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Entity Type | Individual
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Provider Name | MR. MARK ROHAN SPENCE
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Gender | Male
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 01/13/2022
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Provider Practice Location Address
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Address Line | 1190 NW 95TH ST STE 203
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City | MIAMI
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State | FL
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Zip | 33150-2064
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Country | US
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Telephone | 305-693-0000
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Fax | 888-717-7671
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Provider Business Mailing Address
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Address Line | 1190 NW 95TH ST STE 203
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City | MIAMI
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State | FL
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Zip | 33150-2064
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Country | US
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Telephone | 305-693-0000
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Fax | 888-717-7671
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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 | ME74724
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME-74724
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License Number State | FL
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