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General NPI Number Information
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NPI Number | 1245380088
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Entity Type | Individual
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Provider Name | JAMES WARREN SPICER II PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 04/28/2021
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Provider Practice Location Address
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Address Line | 1221 HAYES AVE STE F
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City | SANDUSKY
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State | OH
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Zip | 44870-3345
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Country | US
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Telephone | 419-621-6990
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Fax |
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Provider Business Mailing Address
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Address Line | 1221 HAYES AVE STE F
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City | SANDUSKY
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State | OH
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Zip | 44870-3345
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Country | US
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Telephone | 419-621-6990
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 03-2-26253
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License Number State | OH
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