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General NPI Number Information
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NPI Number | 1104371061
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Entity Type | Organization
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Legal Business Name | TERENCE M REED DDS PC
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Dates
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Enumeration Date | 08/22/2016
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Last Update Date | 10/03/2016
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Provider Practice Location Address
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Address Line | 83 MARKET ST
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City | POTSDAM
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State | NY
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Zip | 13676-1751
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Country | US
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Telephone | 315-265-3377
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Fax |
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Provider Business Mailing Address
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Address Line | 83 MARKET ST
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City | POTSDAM
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State | NY
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Zip | 13676-1751
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Country | US
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Telephone | 315-265-3377
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. AARON ACRES
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Credential | DMD
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Telephone | 315-265-3377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 054490
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License Number State | NY
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