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General NPI Number Information
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NPI Number | 1104173806
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Entity Type | Individual
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Provider Name | MR. TRENTON ANDREW REED
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Gender | Male
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Dates
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Enumeration Date | 08/13/2012
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Last Update Date | 12/12/2018
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Provider Practice Location Address
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Address Line | 15374 COUNTY ROAD T
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City | NAPOLEON
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State | OH
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Zip | 43545-9758
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Country | US
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Telephone | 419-966-0841
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Fax |
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Provider Business Mailing Address
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Address Line | 15374 COUNTY ROAD T
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City | NAPOLEON
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State | OH
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Zip | 43545-9758
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Country | US
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Telephone | 419-966-0841
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN.CRNA.13993
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 723803
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | COA.13993-NA
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License Number State | OH
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