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NPI 1578167524

NPI 1578167524 : MRS. JOYCE D SPANGLER : ENON, OH

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General NPI Number Information
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    NPI Number           |    1578167524
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    Entity Type          |    Individual 
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    Provider Name        |    MRS. JOYCE D SPANGLER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/30/2020
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    Last Update Date     |    11/30/2020
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Provider Practice Location Address
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    Address Line         |    6714 SOUTHERN VISTA DR 
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    City                 |    ENON
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    State                |    OH
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    Zip                  |    45323-1641
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    Country              |    US
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    Telephone            |    937-408-4875
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6714 SOUTHERN VISTA DR 
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    City                 |    ENON
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    State                |    OH
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    Zip                  |    45323-1641
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    Country              |    US
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    Telephone            |    937-340-6133
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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        |    376J00000X
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    Taxonomy Name        |    Homemaker
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    License Number       |    
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    License Number State |    
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