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General NPI Number Information
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NPI Number | 1083683130
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Entity Type | Individual
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Provider Name | GRAHAM L SPRUIELL MD
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Gender | Male
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | VALLEY REGIONAL MEDICAL SERVICES 70 EAST STREET
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City | METHUEN
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State | MA
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Zip | 01844
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Country | US
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Telephone | 978-688-0773
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Fax | 978-681-6173
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Provider Business Mailing Address
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Address Line | VALLEY REGIONAL MEDICAL SERVICES P.O. BOX 414060
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City | BOSTON
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State | MA
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Zip | 02241-0001
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Country | US
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Telephone | 617-562-5460
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Fax | 617-562-5480
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | 52192
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License Number State | MA
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