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General NPI Number Information
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NPI Number | 1164637401
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Entity Type | Organization
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Legal Business Name | W. HUGH SPRUELL, MD, PC
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2712 N DECATUR RD
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City | DECATUR
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State | GA
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Zip | 30033-5910
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Country | US
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Telephone | 404-292-8333
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Fax |
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Provider Business Mailing Address
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Address Line | 2712 N DECATUR RD
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City | DECATUR
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State | GA
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Zip | 30033-5910
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. WILLIAM HUGH SPRUELL
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Credential | MD
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Telephone | 404-292-8333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 011906
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License Number State | GA
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