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General NPI Number Information
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NPI Number | 1821464926
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Entity Type | Organization
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Legal Business Name | SPOONER INC.
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Dates
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Enumeration Date | 08/12/2015
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Last Update Date | 06/22/2016
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Provider Practice Location Address
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Address Line | 7975 N HAYDEN RD SUITE D-333
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-3246
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Country | US
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Telephone | 480-551-4967
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Fax | 480-860-0356
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Provider Business Mailing Address
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Address Line | PO BOX 4570
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City | SCOTTSDALE
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State | AZ
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Zip | 85261-4570
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Country | US
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Telephone | 480-551-4967
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Fax | 480-860-0356
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Authorized Official
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Title or Position | PRESIDENT
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Name | TIMOTHY A SPOONER
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Credential | PT
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Telephone | 480-551-4958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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