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General NPI Number Information
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NPI Number | 1982039012
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Entity Type | Individual
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Provider Name | AMY L SPELLMAN R.PH.
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Gender | Female
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Dates
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Enumeration Date | 09/09/2013
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Last Update Date | 09/09/2013
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Provider Practice Location Address
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Address Line | 1995 E COALTON RD #43-204
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City | SUPERIOR
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State | CO
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Zip | 80027-4419
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Country | US
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Telephone | 618-303-6358
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Fax |
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Provider Business Mailing Address
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Address Line | 1995 E COALTON RD #43-204
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City | SUPERIOR
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State | CO
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Zip | 80027-4419
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Country | US
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Telephone | 618-303-6358
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PHA.0019873
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302031385
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051.286949
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License Number State | IL
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