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General NPI Number Information
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NPI Number | 1093549834
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Entity Type | Individual
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Provider Name | JANET MONE REED
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Gender | Female
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Dates
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Enumeration Date | 08/26/2024
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 4204 GARDENDALE ST STE 107
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3138
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Country | US
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Telephone | 210-990-1951
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Fax |
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Provider Business Mailing Address
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Address Line | 10630 BUTTERFLY FLT
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City | SAN ANTONIO
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State | TX
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Zip | 78254-5420
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Country | US
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Telephone | 210-722-0777
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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