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General NPI Number Information
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NPI Number | 1285687707
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Entity Type | Organization
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Legal Business Name | E PAUL REID MD PC
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 02/04/2011
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Provider Practice Location Address
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Address Line | 2000 MOWRY AVE
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City | FREMONT
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State | CA
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Zip | 94538-1716
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Country | US
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Telephone | 510-745-6443
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Fax | 510-791-3496
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Provider Business Mailing Address
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Address Line | PO BOX 7390
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City | FREMONT
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State | CA
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Zip | 94537-7390
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Country | US
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Telephone | 510-745-6443
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Fax | 510-791-3496
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELWOOD PAUL REID III
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Credential | MD
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Telephone | 510-745-6443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A49781
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License Number State | CA
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