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General NPI Number Information
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NPI Number | 1962930941
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Entity Type | Individual
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Provider Name | SPENCER C TURNER
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Gender | Male
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Dates
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Enumeration Date | 06/02/2017
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Last Update Date | 06/24/2021
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Provider Practice Location Address
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Address Line | 3121 4TH ST SW
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City | MASON CITY
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State | IA
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Zip | 50401-1581
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Country | US
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Telephone | 641-450-0206
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Fax |
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Provider Business Mailing Address
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Address Line | 405 W GRAND AVE
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City | DAYTON
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State | OH
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Zip | 45405-7538
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R-10960
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 58.030427
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | DO-05771
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License Number State | IA
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