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General NPI Number Information
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NPI Number | 1952395048
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Entity Type | Individual
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Provider Name | GARY W SPANGLER JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/06/2005
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Last Update Date | 02/23/2025
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Provider Practice Location Address
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Address Line | 4910 COUNTY ROAD 182
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City | ALVIN
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State | TX
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Zip | 77511-9361
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Country | US
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Telephone | 281-218-7200
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Fax | 281-218-7203
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Provider Business Mailing Address
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Address Line | 646 FM 517 RD W
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City | DICKINSON
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State | TX
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Zip | 77539-3904
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Country | US
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Telephone | 281-218-7200
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Fax | 281-218-7203
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | L4728
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License Number State | TX
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