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General NPI Number Information
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NPI Number | 1962516963
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Entity Type | Individual
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Provider Name | WILLIAM RAY SPRAYBERRY D.D.S., M.S.D.
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Gender | Male
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 410 N SCHOOL ST
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City | BOERNE
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State | TX
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Zip | 78006-2068
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Country | US
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Telephone | 830-249-2793
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Fax | 830-249-2105
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Provider Business Mailing Address
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Address Line | 410 N SCHOOL ST
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City | BOERNE
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State | TX
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Zip | 78006-2068
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Country | US
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Telephone | 830-249-2793
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Fax | 830-249-2105
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 16225
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License Number State | TX
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