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General NPI Number Information
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NPI Number | 1013472448
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Entity Type | Organization
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Legal Business Name | REDD MEDICAL PLLC
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Dates
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Enumeration Date | 02/11/2019
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Last Update Date | 05/16/2023
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Provider Practice Location Address
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Address Line | 811 N MAIN ST
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City | JASPER
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State | TX
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Zip | 75951
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Country | US
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Telephone | 409-489-8938
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Fax | 251-260-8205
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Provider Business Mailing Address
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Address Line | PO BOX 2048
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City | JASPER
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State | TX
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Zip | 75951
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Country | US
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Telephone | 409-594-0255
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Fax | 251-260-8205
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Authorized Official
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Title or Position | OWNER
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Name | REBECCA MARIE SCHNEIDER
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Credential | MD
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Telephone | 409-489-8938
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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 |
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License Number State |
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