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General NPI Number Information
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NPI Number | 1285018309
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Entity Type | Organization
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Legal Business Name | REED CHIROPRACTIC & WELLNESS CENTER A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 07/18/2015
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Last Update Date | 08/27/2015
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Provider Practice Location Address
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Address Line | 4207 DEL REY AVE.
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City | MARINA DEL REY
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State | CA
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Zip | 90292
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Country | US
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Telephone | 310-437-4371
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Fax | 310-827-3409
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Provider Business Mailing Address
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Address Line | 4207 DEL REY AVE.
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City | MARINA DEL REY
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State | CA
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Zip | 90292
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Country | US
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Telephone | 310-437-4371
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Fax | 310-827-3409
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Authorized Official
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Title or Position | DR./ OWNER
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Name | MR. DAVID MICHAEL REED
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Credential | D.C.
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Telephone | 310-437-4371
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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 | 26917
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License Number State | CA
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