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General NPI Number Information
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NPI Number | 1801892104
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Entity Type | Individual
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Provider Name | FRANK J SPOKAS JR. MD
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Gender | Male
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 12/09/2016
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Provider Practice Location Address
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Address Line | 1050 SW 3RD AVE STE 2600
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City | ONTARIO
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State | OR
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Zip | 97914
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Country | US
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Telephone | 541-881-2330
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Fax | 541-881-2335
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Provider Business Mailing Address
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Address Line | 3340 E GOLDSTONE WAY
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City | MERIDIAN
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State | ID
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Zip | 83642
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Country | US
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Telephone | 541-881-2330
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Fax | 541-881-2335
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 17031
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License Number State | OR
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