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General NPI Number Information
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NPI Number | 1215283759
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Entity Type | Individual
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Provider Name | AMANDA RENEE REED RPH
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Gender | Female
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Dates
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Enumeration Date | 08/02/2012
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Last Update Date | 08/02/2012
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Provider Practice Location Address
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Address Line | 242 LINCOLN WAY W
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City | MASSILLON
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State | OH
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Zip | 44647-6566
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Country | US
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Telephone | 220-832-4774
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Fax |
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Provider Business Mailing Address
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Address Line | 4551 ERIE AVE N
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City | CANAL FULTON
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State | OH
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Zip | 44614-8598
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Country | US
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Telephone | 330-284-5261
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03131759
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License Number State | OH
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