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General NPI Number Information
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NPI Number | 1699018010
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Entity Type | Individual
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Provider Name | GREGORY MICHAEL SPRUNG MD
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Gender | Male
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Dates
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Enumeration Date | 04/03/2013
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Last Update Date | 08/29/2022
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Provider Practice Location Address
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Address Line | 2535 S DOWNING ST
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City | DENVER
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State | CO
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Zip | 80210-5847
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Country | US
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Telephone | 303-744-1065
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Fax | 303-733-1699
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Provider Business Mailing Address
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Address Line | 1745 N MILLS AVE STE 100
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City | ORLANDO
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State | FL
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Zip | 32803-1876
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Country | US
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Telephone | 407-841-7151
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 2016-01166
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME139817
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | DR.69443
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License Number State | CO
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