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General NPI Number Information
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NPI Number | 1053281675
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Entity Type | Individual
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Provider Name | MEDALLIUE BARTLEY REID LMSW
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Gender | Female
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Dates
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Enumeration Date | 11/08/2025
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Last Update Date | 11/08/2025
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Provider Practice Location Address
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Address Line | 185 SILAS DEANE HWY 3RD FLOOR
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City | WETHERSFIELD
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State | CT
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Zip | 06109
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Country | US
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Telephone | 860-215-2892
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Fax |
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Provider Business Mailing Address
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Address Line | 3650 SW 150TH LANE RD
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City | OCALA
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State | FL
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Zip | 34473-2816
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Country | US
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Telephone | 347-475-4971
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 9590
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License Number State | CT
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