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General NPI Number Information
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NPI Number | 1962616524
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Entity Type | Individual
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Provider Name | KIRK A SPECHT
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Gender | Male
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 12/30/2015
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Provider Practice Location Address
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Address Line | 1311 S MILLER ST STE 201
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City | SANTA MARIA
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State | CA
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Zip | 93454-6900
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Country | US
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Telephone | 805-347-4444
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Fax | 805-347-4446
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Provider Business Mailing Address
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Address Line | 2560 LAURIE WAY
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City | ARROYO GRANDE
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State | CA
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Zip | 93420-5753
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Country | US
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Telephone | 805-610-0872
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Fax | 805-347-4446
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 33997
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License Number State | CA
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