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General NPI Number Information
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NPI Number | 1134076169
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Entity Type | Organization
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Legal Business Name | SPEARS DIAGNOSTIC SERVICES, LLC
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 3101 SUNSET BLVD STE 2C
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City | ROCKLIN
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State | CA
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Zip | 95677-3089
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Country | US
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Telephone | 916-940-5474
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Fax | 279-336-4307
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Provider Business Mailing Address
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Address Line | 3101 SUNSET BLVD STE 2C
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City | ROCKLIN
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State | CA
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Zip | 95677-3089
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Country | US
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Telephone | 916-940-5474
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Fax | 279-336-4307
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Authorized Official
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Title or Position | OWNER/ MANAGER MEMBER
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Name | SONYA DENIECE SPEARS
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Credential | CPT
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Telephone | 346-432-3144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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