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General NPI Number Information
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NPI Number | 1477738524
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Entity Type | Individual
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Provider Name | JENNIFER L SPICER MS, PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/08/2008
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 374 MOUNTAIN BLVD
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City | WERNERSVILLE
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State | PA
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Zip | 19565-9219
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Country | US
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Telephone | 570-561-2990
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Fax |
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Provider Business Mailing Address
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Address Line | 965 RYE VALLEY RD
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City | MEADOWBROOK
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State | PA
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Zip | 19046-1323
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Country | US
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Telephone | 215-847-0820
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA053239
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA053239
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License Number State | PA
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