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General NPI Number Information
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NPI Number | 1770874158
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Entity Type | Individual
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Provider Name | ROSEMARY PATRICIA SPRING APN
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Gender | Female
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Dates
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Enumeration Date | 04/20/2011
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 12300 HIGHWAY 71 S STE A
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City | FORT SMITH
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State | AR
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Zip | 72916-9474
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Country | US
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Telephone | 479-755-6595
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Fax |
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Provider Business Mailing Address
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Address Line | 52450 RIDGE RD
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City | TALIHINA
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State | OK
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Zip | 74571-1408
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Country | US
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Telephone | 479-243-4993
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | A03538
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | R 72800
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License Number State | OK
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