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General NPI Number Information
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NPI Number | 1386340016
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH SPANGLER OD
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Gender | Female
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Dates
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Enumeration Date | 02/03/2023
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Last Update Date | 02/03/2023
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Provider Practice Location Address
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Address Line | 5049 VALLEY VIEW BLVD NW
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City | ROANOKE
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State | VA
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Zip | 24012-2074
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Country | US
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Telephone | 540-366-7565
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Fax |
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Provider Business Mailing Address
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Address Line | 206 WILLIAMSON RD SE APT 315
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City | ROANOKE
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State | VA
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Zip | 24011-1813
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Country | US
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Telephone |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618003211
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License Number State | VA
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