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General NPI Number Information
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NPI Number | 1255635207
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Entity Type | Individual
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Provider Name | JENNIFER LEIGHT SPEARS CRNA
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Gender | Female
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Dates
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Enumeration Date | 01/05/2011
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 16260 S RANCHO SAHUARITA BLVD
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City | SAHUARITA
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State | AZ
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Zip | 85629-0047
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Country | US
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Telephone | 520-416-7100
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Fax | 659-235-6176
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Provider Business Mailing Address
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Address Line | 3162 PARSONS RD
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City | RAYMOND
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State | MS
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Zip | 39154-9213
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Country | US
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Telephone | 601-857-2824
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Fax | 601-857-2824
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | R867789
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License Number State | MS
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