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General NPI Number Information
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NPI Number | 1619638079
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Entity Type | Individual
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Provider Name | ALYSSA WANITA SPENCE
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Gender | Female
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Dates
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Enumeration Date | 01/06/2022
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Last Update Date | 09/23/2023
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Provider Practice Location Address
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Address Line | 48462 BELL SCHOOL RD
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City | EAST LIVERPOOL
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State | OH
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Zip | 43920-9625
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Country | US
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Telephone | 723-773-1995
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Fax |
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Provider Business Mailing Address
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Address Line | 114 MILHORN LN
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City | STEUBENVILLE
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State | OH
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Zip | 43952-7991
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Country | US
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Telephone | 740-457-9017
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0028586
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License Number State | OH
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