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NPI 1912476300

NPI 1912476300 : SPURLING AND WHITE LLC : MOUNTAIN GROVE, MO

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General NPI Number Information
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    NPI Number           |    1912476300
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    Entity Type          |    Organization 
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    Legal Business Name  |    SPURLING AND WHITE LLC 
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Dates
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    Enumeration Date     |    11/15/2018
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    Last Update Date     |    07/07/2025
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Provider Practice Location Address
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    Address Line         |    100 W. 17TH STREET STE D
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    City                 |    MOUNTAIN GROVE
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    State                |    MO
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    Zip                  |    65711
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    Country              |    US
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    Telephone            |    417-255-8645
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    Fax                  |    417-255-8649
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Provider Business Mailing Address
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    Address Line         |    100 W 17TH ST STE D 
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    City                 |    MOUNTAIN GROVE
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    State                |    MO
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    Zip                  |    65711-1060
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    Country              |    US
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    Telephone            |    417-349-4100
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    Fax                  |    417-349-4109
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. JASON  SPURLING 
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    Credential           |    MD
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    Telephone            |    417-274-1720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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