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General NPI Number Information
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NPI Number | 1487972436
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Entity Type | Individual
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Provider Name | SPENCER MENEES M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/13/2010
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 1310 PALUXY RD
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City | GRANBURY
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State | TX
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Zip | 76048-5655
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Country | US
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Telephone | 817-573-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 423 MURPHY RD
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City | BURLESON
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State | TX
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Zip | 76028-2702
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Country | US
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Telephone | 816-853-2597
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 9220
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 54523
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | T1777
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License Number State | TX
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