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NPI Code Detail

MEDICARE: NANCY SPRUILL

MEDICARE:   NANCY  SPRUILL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist012756NY

General Provider Information

NPI Number : 1427422732
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY SPRUILL
Provider Business Mailing Address
First Line : 137 GUERNSEY ST
Second Line : APT. 3L
City : BROOKLYN
State : NY
Zip : 11222-2837
Country : US
Telephone Number : 718-383-4261
Fax Number :
Provider Business Practice Location Address
First Line : 137 GUERNSEY ST
Second Line : APT. 3L
City : BROOKLYN
State : NY
Zip : 11222-2837
Country : US
Telephone Number : 718-383-4261
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2015
Last Update Date : 11/24/2015

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Directions to “ NANCY SPRUILL ” Practice Location

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