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General NPI Number Information
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NPI Number | 1265494611
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Entity Type | Individual
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Provider Name | ROBERT N. REDDIX JR. MD
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Gender | Male
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Dates
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Enumeration Date | 04/03/2006
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Last Update Date | 10/15/2021
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Provider Practice Location Address
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Address Line | 3501 S SONCY RD STE 104
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City | AMARILLO
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State | TX
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Zip | 79119-6405
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Country | US
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Telephone | 806-398-3627
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Fax | 806-351-7801
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Provider Business Mailing Address
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Address Line | 367 S GULPH RD, ATN :IPM CREDENTIALING ATN :IPM CREDENTIALING
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-3121
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Country | US
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Telephone | 806-398-3627
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Fax | 806-351-7801
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | L7133
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 2006-00209
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | L7133
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License Number State | TX
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