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General NPI Number Information
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NPI Number | 1982713848
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Entity Type | Organization
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Legal Business Name | MELINDA D SPOONER MD PA
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 10/05/2009
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Provider Practice Location Address
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Address Line | 3801 W 15TH ST SUITE 270
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City | PLANO
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State | TX
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Zip | 75075-4737
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Country | US
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Telephone | 972-964-5514
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Fax | 972-312-1476
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Provider Business Mailing Address
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Address Line | 3801 W 15TH ST SUITE 270
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City | PLANO
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State | TX
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Zip | 75075-4737
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Country | US
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Telephone | 972-964-5514
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Fax | 972-312-1476
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | MELINDA D SPOONER
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Credential | MD
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Telephone | 972-612-5551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | K2379
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License Number State | TX
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