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NPI 1043317209

NPI 1043317209 : STUART G REEVES D.P.M. : SACRAMENTO, CA

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General NPI Number Information
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    NPI Number           |    1043317209
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    Entity Type          |    Individual 
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    Provider Name        |    STUART G REEVES D.P.M.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/20/2006
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    Last Update Date     |    01/24/2022
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Provider Practice Location Address
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    Address Line         |    902 FLORIN RD 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95831-3501
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    Country              |    US
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    Telephone            |    916-395-1800
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    Fax                  |    916-395-5733
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Provider Business Mailing Address
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    Address Line         |    902 FLORIN RD SUITE A
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95831-3501
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    Country              |    US
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    Telephone            |    916-395-1800
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    Fax                  |    916-395-5733
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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        |    213E00000X
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    Taxonomy Name        |    Podiatrist
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    License Number       |    E4006
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    License Number State |    CA
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