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General NPI Number Information
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NPI Number | 1245151851
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Entity Type | Individual
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Provider Name | JAKE THOMAS SPIKER
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Gender | Male
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 10101 DOUBLE R BLVD
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City | RENO
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State | NV
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Zip | 89521-3149
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Country | US
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Telephone | 909-272-6252
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Fax |
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Provider Business Mailing Address
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Address Line | 6028 PLUMAS ST UNIT C
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City | RENO
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State | NV
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Zip | 89519-6056
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Country | US
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Telephone | 909-272-6252
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 896308
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License Number State | NV
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