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General NPI Number Information
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NPI Number | 1912598061
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Entity Type | Individual
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Provider Name | JOHN MICHAEL SPURGEON FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 02/01/2021
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Last Update Date | 02/01/2021
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Provider Practice Location Address
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Address Line | 130 S EDINBURG DRIVE SUITE 203
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City | CARY
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State | NC
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Zip | 27511
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Country | US
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Telephone | 877-284-4435
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Fax |
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Provider Business Mailing Address
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Address Line | 720 MARKETVIEW CT
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-4869
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Country | US
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Telephone | 219-718-9601
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SPUR-34B32K
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License Number State | NC
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