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General NPI Number Information
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NPI Number | 1275604316
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Entity Type | Individual
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Provider Name | CHERYL R REE MD
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Gender | Female
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Dates
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Enumeration Date | 11/12/2006
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Last Update Date | 11/12/2018
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Provider Practice Location Address
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Address Line | 474 N HWY 89
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City | CHINO VALLEY
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State | AZ
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Zip | 86323-5993
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Country | US
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Telephone | 928-636-5680
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Fax | 928-636-5853
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Provider Business Mailing Address
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Address Line | PO BOX 10880
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City | PRESCOTT
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State | AZ
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Zip | 86304-0880
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Country | US
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Telephone | 928-636-5680
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Fax | 928-636-5853
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 6412
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 55700
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License Number State | AZ
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