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General NPI Number Information
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NPI Number | 1093946659
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Entity Type | Organization
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Legal Business Name | KENNETH L. REED, D.O., LLC
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Dates
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Enumeration Date | 07/30/2009
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Last Update Date | 07/30/2009
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Provider Practice Location Address
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Address Line | 2330 E HIGH ST SUITE B
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City | SPRINGFIELD
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State | OH
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Zip | 45505-1371
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Country | US
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Telephone | 937-325-3696
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Fax | 937-325-3713
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Provider Business Mailing Address
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Address Line | 2330 E HIGH ST SUITE B
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City | SPRINGFIELD
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State | OH
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Zip | 45505-1371
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Country | US
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Telephone | 937-325-3696
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Fax | 937-325-3713
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Authorized Official
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Title or Position | MEMBER
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Name | DR. KENNETH LOYE REED
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Credential | D.O.
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Telephone | 937-325-3696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 34008140
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License Number State | OH
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