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General NPI Number Information
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NPI Number | 1972371524
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Entity Type | Individual
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Provider Name | EMILY SPIEKERMAN
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Gender | Female
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Dates
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Enumeration Date | 12/13/2023
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 210 S PRESTON RD STE 10
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City | PROSPER
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State | TX
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Zip | 75078-3070
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Country | US
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Telephone | 469-697-5100
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Fax | 469-697-5105
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Provider Business Mailing Address
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Address Line | PO BOX 35629
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City | DALLAS
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State | TX
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Zip | 75235-0629
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Country | US
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Telephone | 214-424-2200
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Fax | 214-231-2159
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA19128
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License Number State | TX
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