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General NPI Number Information
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NPI Number | 1114594645
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Entity Type | Individual
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Provider Name | NOAH SCOTT REID APRN
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Gender | Male
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Dates
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Enumeration Date | 06/03/2021
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 145 ORCHARD ST
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City | ONEIDA
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State | KY
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Zip | 40972-6409
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Country | US
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Telephone | 606-847-4000
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Fax | 606-847-9331
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Provider Business Mailing Address
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Address Line | 11217 HIGHWAY 421 S
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City | TYNER
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State | KY
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Zip | 40486-8352
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Country | US
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Telephone | 606-598-5104
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3016201
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License Number State | KY
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