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General NPI Number Information
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NPI Number | 1780085332
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Entity Type | Organization
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Legal Business Name | DAVID SPRADLIN
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Dates
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Enumeration Date | 09/12/2014
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Last Update Date | 10/14/2014
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Provider Practice Location Address
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Address Line | 3305 S MAYHILL RD STE 103
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City | DENTON
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State | TX
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Zip | 76208-6054
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Country | US
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Telephone | 817-680-9351
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Fax | 940-591-3029
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Provider Business Mailing Address
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Address Line | 3305 S MAYHILL RD STE 103
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City | DENTON
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State | TX
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Zip | 76208-6054
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Country | US
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Telephone | 817-680-9351
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Fax | 940-591-3029
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Authorized Official
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Title or Position | OWNER
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Name | DAVID DUANE SPRADLIN
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Credential |
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Telephone | 817-680-9351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | 80366
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License Number State | TX
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