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General NPI Number Information
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NPI Number | 1023027604
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Entity Type | Organization
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Legal Business Name | MICHAEL W REED MD PA
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 02/05/2014
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Provider Practice Location Address
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Address Line | 500 W 19TH ST
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City | PANAMA CITY
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State | FL
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Zip | 32405-4603
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Country | US
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Telephone | 850-257-7097
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Fax | 850-257-7191
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Provider Business Mailing Address
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Address Line | 500 W 19TH ST
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City | PANAMA CITY
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State | FL
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Zip | 32405-4603
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Country | US
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Telephone | 850-257-7097
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Fax | 850-257-7191
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL W REED
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Credential | M.D.
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Telephone | 850-257-7097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | ME115111
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License Number State | FL
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