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General NPI Number Information
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NPI Number | 1407352396
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Entity Type | Individual
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Provider Name | SPENCER FROST MD
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Gender | Male
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Dates
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Enumeration Date | 04/01/2018
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 2068 JOHN JONES RD
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City | DAVIS
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State | CA
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Zip | 95616-9711
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Country | US
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Telephone | 530-747-0389
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Fax |
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Provider Business Mailing Address
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Address Line | 2068 JOHN JONES RD
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City | DAVIS
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State | CA
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Zip | 95616-9711
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Country | US
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Telephone |
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Fax | 650-498-6205
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A163772
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License Number State | CA
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