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General NPI Number Information
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NPI Number | 1639011380
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Entity Type | Individual
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Provider Name | ALEXANDRIA M SPONTAK APN
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Gender | Female
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/09/2026
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Provider Practice Location Address
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Address Line | 300 RANDALL RD
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City | GENEVA
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State | IL
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Zip | 60134-4200
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Country | US
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Telephone | 630-208-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 35 MAPLE RIDGE LN
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City | YORKVILLE
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State | IL
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Zip | 60560-9306
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Country | US
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Telephone | 630-267-6946
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209035167
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License Number State | IL
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