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General NPI Number Information
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NPI Number | 1073793535
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Entity Type | Organization
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Legal Business Name | DR. PHILIP . REED, DC
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 11/24/2008
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Provider Practice Location Address
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Address Line | 721 S OAKWOOD RD STE A
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City | ENID
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State | OK
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Zip | 73703-6247
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Country | US
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Telephone | 580-234-0166
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Fax | 580-234-2766
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Provider Business Mailing Address
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Address Line | 721 S OAKWOOD RD STE A
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City | ENID
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State | OK
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Zip | 73703-6247
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Country | US
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Telephone | 580-234-0166
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Fax | 580-234-2766
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. PHILIP REED
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Credential | D.C.
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Telephone | 580-234-0166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3089
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License Number State | OK
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