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General NPI Number Information
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NPI Number | 1144403916
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Entity Type | Organization
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Legal Business Name | WILLIAM R REID OD INC
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Dates
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Enumeration Date | 12/14/2007
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Last Update Date | 04/27/2018
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Provider Practice Location Address
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Address Line | 937 E MAIN ST STE 102
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City | SANTA MARIA
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State | CA
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Zip | 93454-5309
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Country | US
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Telephone | 805-922-1923
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Fax | 805-922-2395
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Provider Business Mailing Address
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Address Line | 937 E MAIN ST STE 102
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City | SANTA MARIA
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State | CA
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Zip | 93454-5309
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Country | US
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Telephone | 805-922-1923
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Fax | 805-922-2395
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID P ALFORD
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Credential | O.D.
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Telephone | 805-922-1923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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