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General NPI Number Information
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NPI Number | 1235482084
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Entity Type | Organization
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Legal Business Name | SPRINGER MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 10/17/2012
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 16615 HIGHWAY 104 N B
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City | LEXINGTON
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State | TN
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Zip | 38351-5752
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Country | US
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Telephone | 731-968-0660
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Fax | 731-968-0007
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Provider Business Mailing Address
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Address Line | 16615 HIGHWAY 104 N STE B
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City | LEXINGTON
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State | TN
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Zip | 38351-5753
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Country | US
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Telephone | 731-986-0660
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Fax | 731-968-0007
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Authorized Official
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Title or Position | OWNER
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Name | MS. ALICIA G SPRINGER
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Credential | NP
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Telephone | 731-968-0660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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