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General NPI Number Information
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NPI Number | 1972063386
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Entity Type | Individual
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Provider Name | REBECCA LYNN SPEARMAN DDS
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Gender | Female
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Dates
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Enumeration Date | 03/21/2019
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 2235 DAVE WARD DR STE 103
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City | CONWAY
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State | AR
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Zip | 72034-7040
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Country | US
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Telephone | 501-932-0192
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Fax |
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Provider Business Mailing Address
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Address Line | 9 RED OAK PL
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City | MAUMELLE
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State | AR
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Zip | 72113-6805
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Country | US
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Telephone | 479-886-5526
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4425
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License Number State | AR
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