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General NPI Number Information
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NPI Number | 1124231097
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Entity Type | Individual
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Provider Name | TAMMY MARIE REED DO
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Gender | Female
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 11/28/2016
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Provider Practice Location Address
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Address Line | 317 WESTERN BLVD
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6338
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Country | US
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Telephone | 910-712-4210
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Fax |
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Provider Business Mailing Address
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Address Line | 1935 OYSTER HARBOUR PKWY SW
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City | SUPPLY
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State | NC
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Zip | 28462-3523
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Country | US
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Telephone | 910-712-4210
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | TRAINING CERTIFICATE
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2013-02008
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License Number State | NC
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