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General NPI Number Information
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NPI Number | 1285895623
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Entity Type | Individual
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Provider Name | KEITH W SPEARS MD
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Gender | Male
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Dates
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Enumeration Date | 06/18/2008
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 3930 NORTHWOODS DR - MAIL STOP 32800A HEALTHPARTNERS ARDEN HILLS CLINIC
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City | ARDEN HILLS
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State | MN
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Zip | 55112-6974
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Country | US
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Telephone | 651-523-8500
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Fax | 651-523-8584
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Provider Business Mailing Address
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Address Line | 7400 MERTON MINTER ST
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4404
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Country | US
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Telephone | 210-706-7800
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 54274
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License Number State | MN
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