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General NPI Number Information
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NPI Number | 1376358770
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Entity Type | Individual
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Provider Name | DEMEIKO LYNN SPREWELL FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 39000 BOB HOPE DR, HARRY AND DIANE RINKER BLG
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270
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Country | US
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Telephone | 760-568-2684
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Fax | 760-341-5832
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Provider Business Mailing Address
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Address Line | PO BOX 1730
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-1058
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Country | US
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Telephone | 760-568-2684
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Fax | 760-341-5832
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95034233
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License Number State | CA
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