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General NPI Number Information
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NPI Number | 1982589883
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Entity Type | Individual
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Provider Name | JOHN SPECE LAC
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Gender | Male
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Dates
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Enumeration Date | 08/08/2025
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 9280 S KYRENE RD STE 119
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City | TEMPE
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State | AZ
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Zip | 85284-2954
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Country | US
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Telephone | 480-339-7119
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Fax |
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Provider Business Mailing Address
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Address Line | 5111 E CAMINO FRANCISCO SOZA
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City | TUCSON
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State | AZ
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Zip | 85718-5529
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Country | US
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Telephone | 520-300-0584
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LAC-22626
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License Number State | AZ
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