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General NPI Number Information
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NPI Number | 1417039991
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Entity Type | Individual
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Provider Name | ANTHONY EUGENE SPRUELL P.A.
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Gender | Male
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 2400 S AVENUE A
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City | YUMA
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State | AZ
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Zip | 85364-7127
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Country | US
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Telephone | 928-336-7100
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Fax | 928-336-7508
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Provider Business Mailing Address
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Address Line | PO BOX 660969
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City | ARCADIA
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State | CA
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Zip | 91066-0969
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Country | US
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Telephone | 626-447-0296
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Fax | 626-447-6057
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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 | 10004871A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 3509
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License Number State | AZ
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