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General NPI Number Information
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NPI Number | 1154613941
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Entity Type | Individual
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Provider Name | RENEE REED MSN,RN,ANP-C,GNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/11/2011
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Last Update Date | 08/02/2019
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Provider Practice Location Address
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Address Line | 11385 SW NOVA CT
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City | TIGARD
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State | OR
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Zip | 97223-3922
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Country | US
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Telephone | 503-780-3708
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Fax | 503-639-3870
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Provider Business Mailing Address
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Address Line | 13120 SW HEATHER CT
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City | BEAVERTON
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State | OR
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Zip | 97008-5612
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Country | US
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Telephone | 503-780-3708
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Fax | 503-639-3870
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 096000646
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 201250059NP
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 201250059
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License Number State | OR
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