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General NPI Number Information
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NPI Number | 1134193410
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Entity Type | Organization
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Legal Business Name | REID PHYSICIAN ASSOCIATES, INC.
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 01/31/2014
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Provider Practice Location Address
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Address Line | 101 S 10TH ST
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City | RICHMOND
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State | IN
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Zip | 47374-5547
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Country | US
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Telephone | 765-966-1600
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Fax | 765-962-9641
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Provider Business Mailing Address
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Address Line | 1100 REID PARKWAY, MEDICAL STAFF SERVICES
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City | RICHMOND
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State | IN
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Zip | 47374-5547
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Country | US
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Telephone | 765-966-1600
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Fax | 765-962-9641
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CRAIG C. KINYON
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Credential |
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Telephone | 765-983-3122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State | IN
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