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General NPI Number Information
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NPI Number | 1063049401
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Entity Type | Individual
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Provider Name | JONATHAN T SPRADLEY MD
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Gender | Male
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Dates
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Enumeration Date | 03/25/2020
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 3201 SPRINGHILL DR STE 400
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72117-2008
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Country | US
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Telephone | 501-945-8838
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Fax |
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Provider Business Mailing Address
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Address Line | 3201 SPRINGHILL DR STE 400
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72117-2008
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Country | US
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Telephone | 504-988-8838
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Fax | 504-988-8835
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | E-19201
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 328225
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | E-19201
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License Number State | AR
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