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General NPI Number Information
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NPI Number | 1043847239
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Entity Type | Individual
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Provider Name | JAMEZE HOWARD REEDUS JAMES MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2020
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 1332 PARK ST STE 202
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City | ALAMEDA
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State | CA
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Zip | 94501-4545
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Country | US
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Telephone | 510-523-3417
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Fax | 866-826-1671
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Provider Business Mailing Address
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Address Line | 1332 PARK ST STE 202
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City | ALAMEDA
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State | CA
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Zip | 94501-4545
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Country | US
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Telephone | 510-523-3417
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Fax | 866-826-1671
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A184955
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License Number State | CA
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