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General NPI Number Information
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NPI Number | 1467489930
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Entity Type | Individual
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Provider Name | JOHN R. SPURZEM MD
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 3260 KERNER BLVD
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City | SAN RAFAEL
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State | CA
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Zip | 94901-4840
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Country | US
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Telephone | 415-448-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 523 SAN PEDRO CV
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City | SAN RAFAEL
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State | CA
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Zip | 94901-2478
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Country | US
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Telephone | 601-209-8064
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | G89192
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License Number State | CA
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