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General NPI Number Information
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NPI Number | 1023031887
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Entity Type | Individual
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Provider Name | JEFFREY REID AU.D
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 08/12/2010
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Provider Practice Location Address
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Address Line | 10206 MASON AVE.
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City | CHATSWORTH
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State | CA
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Zip | 91311-3303
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Country | US
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Telephone | 818-886-4327
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Fax |
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Provider Business Mailing Address
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Address Line | FILE # 55745
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City | LOS ANGELES
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State | CA
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Zip | 90074-0001
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Country | US
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Telephone | 818-885-8976
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Fax |
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AU912
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HA2220
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License Number State | CA
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