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General NPI Number Information
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NPI Number | 1164355178
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Entity Type | Individual
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Provider Name | COLBY D SPEARS APRN, CRNA
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Gender | Male
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 2201 LEXINGTON AVE
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City | ASHLAND
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State | KY
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Zip | 41101-2843
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Country | US
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Telephone | 606-408-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 37 SECRET HOLLOW LN
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City | KENOVA
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State | WV
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Zip | 25530-7623
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Country | US
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Telephone | 304-840-8773
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 4059562
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License Number State | KY
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