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NPI 1447878806

NPI 1447878806 : SPRHOLDINGS, LLC : MEDINA, OH

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General NPI Number Information
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    NPI Number           |    1447878806
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    Entity Type          |    Organization 
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    Legal Business Name  |    SPRHOLDINGS, LLC 
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Dates
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    Enumeration Date     |    07/10/2020
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    Last Update Date     |    07/10/2020
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Provider Practice Location Address
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    Address Line         |    885 DAMON DR 
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    City                 |    MEDINA
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    State                |    OH
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    Zip                  |    44256-2009
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    Country              |    US
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    Telephone            |    330-410-6230
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    885 DAMON DR 
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    City                 |    MEDINA
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    State                |    OH
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    Zip                  |    44256-2009
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    Country              |    US
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    Telephone            |    330-410-6230
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. STEVE  ROBERTSON 
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    Credential           |    MD
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    Telephone            |    330-410-6230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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