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General NPI Number Information
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NPI Number | 1609299007
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Entity Type | Individual
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Provider Name | AMELA SPRADLING CRNA
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Gender | Female
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Dates
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Enumeration Date | 01/22/2014
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Last Update Date | 01/22/2014
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Provider Practice Location Address
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Address Line | 601 S FLOYD ST
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City | LOUISVILLE
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State | KY
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Zip | 40202-1835
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Country | US
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Telephone | 502-629-2880
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Fax | 502-629-2879
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Provider Business Mailing Address
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Address Line | 1904 MANOR HOUSE DR
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City | LOUISVILLE
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State | KY
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Zip | 40220-1405
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Country | US
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Telephone | 502-608-3089
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Fax | 502-629-2879
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 3008461
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License Number State | KY
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