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General NPI Number Information
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NPI Number | 1497596159
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Entity Type | Individual
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Provider Name | EMILY SPINGER PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 3030 HARDEN BLVD
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City | LAKELAND
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State | FL
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Zip | 33803-7952
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Country | US
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Telephone | 863-687-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 5249 BLACK SWAN DR UNIT 308
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City | LAKELAND
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State | FL
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Zip | 33812-6370
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Country | US
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Telephone | 850-321-5171
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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 | PA9118854
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License Number State | FL
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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 | 9118854
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License Number State | FL
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