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General NPI Number Information
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NPI Number | 1255357125
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Entity Type | Individual
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Provider Name | REGINA D. REED CNP
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Gender | Female
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 02/26/2016
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Provider Practice Location Address
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Address Line | 257165 WILSON ST
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City | COOLVILLE
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State | OH
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Zip | 45723-8153
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Country | US
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Telephone | 740-846-0008
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Fax | 740-845-0098
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Provider Business Mailing Address
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Address Line | PO BOX 188
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-0188
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Country | US
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Telephone | 740-773-4366
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Fax | 740-775-7855
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | COA.07869-NP
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License Number State | OH
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