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General NPI Number Information
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NPI Number | 1346264736
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Entity Type | Individual
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Provider Name | PAUL F. SPEAR R.N.,A.T.C.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 160 GROSS ST
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City | MARIETTA
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State | OH
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Zip | 45750-2031
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Country | US
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Telephone | 740-374-3200
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Fax | 740-374-9560
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Provider Business Mailing Address
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Address Line | 160 GROSS ST
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City | MARIETTA
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State | OH
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Zip | 45750-2031
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Country | US
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Telephone | 740-374-3200
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Fax | 740-374-9560
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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 | 163WX0800X
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Taxonomy Name | Orthopedic Registered Nurse
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License Number | 076592
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 000152
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License Number State | OH
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