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General NPI Number Information
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NPI Number | 1225755101
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Entity Type | Individual
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Provider Name | DUSTINE SPENCER DVM
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Gender | Female
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Dates
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Enumeration Date | 10/21/2022
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Last Update Date | 10/21/2022
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Provider Practice Location Address
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Address Line | 6607 NE 84TH ST STE 109
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City | VANCOUVER
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State | WA
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Zip | 98665-2019
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Country | US
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Telephone | 360-694-3007
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Fax |
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Provider Business Mailing Address
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Address Line | 6607 NE 84TH ST STE 109
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City | VANCOUVER
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State | WA
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Zip | 98665-2019
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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 |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 22720
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 1617A
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 15868
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 8161
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 61337407
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License Number State | WA
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