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General NPI Number Information
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NPI Number | 1063253342
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Entity Type | Individual
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Provider Name | SPENCER C GREER
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Gender | Male
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 4301 W MARKHAM ST # 619
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City | LITTLE ROCK
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State | AR
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Zip | 72205-7101
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Country | US
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Telephone | 501-686-5730
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Fax |
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Provider Business Mailing Address
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Address Line | 4401 N LOCUST ST
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72116-8147
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Country | US
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Telephone | 501-470-8450
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PT2024-095
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License Number State | AR
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