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General NPI Number Information
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NPI Number | 1609315522
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Entity Type | Individual
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Provider Name | ELIZABETH SPAETZEL AGACNP
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Gender | Female
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Dates
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Enumeration Date | 02/13/2017
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 411 30TH ST STE 314
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City | OAKLAND
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State | CA
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Zip | 94609-3312
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Country | US
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Telephone | 510-465-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 2003 KOOTENAI HEALTH WAY
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City | COEUR D ALENE
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State | ID
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Zip | 83814-6051
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Country | US
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Telephone | 208-625-5084
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R226564
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 0001232064
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 95213651
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 73855
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License Number State | ID
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Taxonomy #5
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 0024173830
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | R226564
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License Number State | MD
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Taxonomy #7
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 95014076
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License Number State | CA
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