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General NPI Number Information
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NPI Number | 1346030285
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Entity Type | Individual
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Provider Name | NICHOLAS SPURGUS PA-C
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Gender | Male
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 618 PLEASANTVILLE RD STE 202
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City | LANCASTER
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State | OH
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Zip | 43130-3346
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Country | US
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Telephone | 740-681-9020
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Fax | 740-681-9112
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Provider Business Mailing Address
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Address Line | 618 PLEASANTVILLE RD STE 202
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City | LANCASTER
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State | OH
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Zip | 43130-3346
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Country | US
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Telephone | 740-681-9020
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Fax | 740-681-9112
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.009700RX
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License Number State | OH
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