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General NPI Number Information
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NPI Number | 1245862507
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Entity Type | Individual
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Provider Name | TODD L. REED DC
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Gender | Male
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Dates
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Enumeration Date | 02/05/2020
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Last Update Date | 02/05/2020
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Provider Practice Location Address
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Address Line | 83 UPPER RIVERDALE RD
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City | RIVERDALE
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State | GA
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Zip | 30274
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Country | US
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Telephone | 770-961-7246
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Fax |
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Provider Business Mailing Address
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Address Line | 1702 CRESTVIEW DR
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City | DANVILLE
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State | IL
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Zip | 61832-1909
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Country | US
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Telephone | 217-799-7868
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIRO10256
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License Number State | GA
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