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General NPI Number Information
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NPI Number | 1124142203
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Entity Type | Individual
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Provider Name | SANDRA ,ARIE SPINO FNP
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Gender | Female
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1840 WAST GYPSY LANE RD
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City | BOWLING GREEN
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State | OH
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Zip | 43402
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Country | US
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Telephone | 419-352-8402
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Fax | 419-354-2169
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Provider Business Mailing Address
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Address Line | 1840 WAST GYPSY LANE RD
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City | BOWLING GREEN
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State | OH
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Zip | 43402
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Country | US
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Telephone | 419-352-8402
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Fax | 419-354-2169
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA03489
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License Number State | OH
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