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General NPI Number Information
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NPI Number | 1285980284
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Entity Type | Individual
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Provider Name | JULIAN KYLE SPRAGGINS DPT
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Gender | Male
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Dates
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Enumeration Date | 07/27/2012
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Last Update Date | 02/17/2022
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Provider Practice Location Address
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Address Line | 729 FAIRMONT RD STE 101
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City | MORGANTOWN
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State | WV
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Zip | 26501-4588
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Country | US
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Telephone | 304-413-4515
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Fax | 304-413-4501
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Provider Business Mailing Address
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Address Line | 729 FAIRMONT RD STE 101
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City | MORGANTOWN
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State | WV
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Zip | 26501-4588
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Country | US
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Telephone | 304-413-4515
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Fax | 304-413-4501
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 26978
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 003062
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License Number State | WV
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