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General NPI Number Information
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NPI Number | 1972528834
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Entity Type | Organization
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Legal Business Name | A NEAL SPANGLERS JR DDS PA
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 417 W WARREN ST
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City | SHELBY
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State | NC
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Zip | 28150-5329
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Country | US
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Telephone | 704-482-8336
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Fax | 704-481-8861
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Provider Business Mailing Address
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Address Line | 417 W WARREN ST
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City | SHELBY
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State | NC
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Zip | 28150-5329
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Country | US
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Telephone | 704-482-8336
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Fax | 704-481-8861
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Authorized Official
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Title or Position | OWNER
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Name | DR. A NEAL SPANGLER JR.
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Credential | DDS
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Telephone | 404-482-8336
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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 | 3397
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License Number State | NC
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