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General NPI Number Information
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NPI Number | 1134398589
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Entity Type | Individual
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Provider Name | JAMES CHRISTOPHER SPRADLING CRNA
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Gender | Male
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Dates
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Enumeration Date | 02/29/2008
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 590 MEDICAL CENTER ROAD
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City | FORT CAVAZOS
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State | TX
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Zip | 76544
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Country | US
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Telephone | 254-553-0627
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Fax |
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Provider Business Mailing Address
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Address Line | 2608 N MAIN ST STE B #231
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City | BELTON
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State | TX
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Zip | 76513-1547
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Country | US
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Telephone | 360-632-8904
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 60787205
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 229032
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 20620
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License Number State | AK
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 60787312
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | AP60787312
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License Number State | WA
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Taxonomy #6
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 1156094
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License Number State | TX
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