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General NPI Number Information
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NPI Number | 1104222512
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Entity Type | Organization
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Legal Business Name | JENNIFER CHARESE REED DC
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Dates
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Enumeration Date | 11/12/2014
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Last Update Date | 11/12/2014
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Provider Practice Location Address
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Address Line | 20423 KUYKENDAHL RD STE 400
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City | SPRING
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State | TX
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Zip | 77379-3491
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Country | US
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Telephone | 832-717-0855
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Fax | 832-717-7621
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Provider Business Mailing Address
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Address Line | 20423 KUYKENDAHL RD STE 400
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City | SPRING
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State | TX
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Zip | 77379-3491
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Country | US
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Telephone | 832-717-0855
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Fax | 832-717-7621
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | JENNIFER C REED
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Credential | DC
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Telephone | 832-717-0855
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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 | 12347TX
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License Number State | TX
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