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General NPI Number Information
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NPI Number | 1235192808
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Entity Type | Individual
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Provider Name | KAREN J REEDY PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 07/09/2013
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Provider Practice Location Address
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Address Line | 2058 S QUEEN ST
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City | YORK
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State | PA
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Zip | 17403-4829
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Country | US
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Telephone | 888-520-5060
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Fax | 717-812-3950
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Provider Business Mailing Address
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Address Line | 1803 MT ROSE AVE SUITE B3
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City | YORK
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State | PA
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Zip | 17403-3051
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Country | US
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Telephone | 717-851-1405
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | C0001458
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | MA054384
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License Number State | PA
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