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General NPI Number Information
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NPI Number | 1134398829
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Entity Type | Organization
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Legal Business Name | SEAN REEDER D.O. P.C
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 02/26/2008
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Provider Practice Location Address
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Address Line | 3811 E BELL RD SUITE 312
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City | PHOENIX
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State | AZ
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Zip | 85032-2138
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Country | US
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Telephone | 602-867-2219
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Fax | 602-867-1637
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Provider Business Mailing Address
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Address Line | 3811 E BELL RD SUITE 312
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City | PHOENIX
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State | AZ
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Zip | 85032-2138
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Country | US
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Telephone | 602-867-2219
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Fax | 602-867-1637
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. SEAN C REEDER
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Credential | D.O.
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Telephone | 602-867-2219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 3530
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License Number State | AZ
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