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General NPI Number Information
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NPI Number | 1457575656
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Entity Type | Organization
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Legal Business Name | SPRC, LLC
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 8860 COLUMBIA 100 PKWY STE 216
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City | COLUMBIA
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State | MD
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Zip | 21045-2383
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Country | US
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Telephone | 443-917-6500
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Fax | 833-764-3847
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Provider Business Mailing Address
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Address Line | PO BOX 539
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City | FULTON
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State | MD
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Zip | 20759-0539
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Country | US
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Telephone | 443-917-6500
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Fax | 833-764-3847
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Authorized Official
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Title or Position | PHYSICIAN
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Name | FRANCISCO WARD
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Credential | DO
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Telephone | 443-917-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2081H0002X
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Taxonomy Name | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | H0045795
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License Number State | MD
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